Individual provider · Type 1 NPI

Jodi Lorene Waddell

Professional Counselor · Mauston, WI

NPI number 1972272755 Active

Practice location

124 Grayside Ave
Mauston, WI 53948-1913

Call (608) 847-7575 Map

Fax (608) 847-3096

Mailing address

S6908 Missel Rd
De Soto, WI 54624-6350

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12209-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1972272755

Jodi Lorene Waddell's National Provider Identifier is 1972272755, issued on Sep 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mauston, WI. The record was last updated on Jan 23, 2026.