Individual provider · Type 1 NPI

Jody L. Detwieler, LIMHP, LCSW

Mental Health Counselor · Grand Island, NE

NPI number 1962622746 Active

Practice location

2608 Old Fair Rd
Grand Island, NE 68803-5271

Call (308) 382-5297 Map

Fax (308) 382-5315

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700X2006022486 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1962622746

Jody L. Detwieler, LIMHP, LCSW's National Provider Identifier is 1962622746, issued on Apr 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Island, NE. The record was last updated on Apr 12, 2021.