Individual provider · Type 1 NPI

Jody Petzoldt, M.A.

Professional Counselor · Cape Girardeau, MO

NPI number 1689941528 Active

Practice location

340 S Broadview St
Cape Girardeau, MO 63703-5703

Call (573) 332-0416 Map

Fax (573) 335-2698

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2011036260 (MO)

Professional Counselor: Definition to come...

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About NPI 1689941528

Jody Petzoldt, M.A.'s National Provider Identifier is 1689941528, issued on Nov 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cape Girardeau, MO. The record was last updated on Nov 21, 2011.