NPI 1013302611

Jodi Anderson, LPC

Practitioner Counselor Green Bay, WI

Practice location

Address: 2325 Verlin Rd STE 203, Green Bay, WI 54311-6072
Phone: (920) 655-0859

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 6028-125 (WI)

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Registry record

NPI: 1013302611
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2015
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.