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Contact Information

JODI ANDERSON, LPC
2325 VERLIN RD STE 203
GREEN BAY, WI54311-6072
 Phone: 920-655-0859
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JODI ANDERSON · (Female)

NPI Number 1013302611
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 03/31/2015
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 6028-125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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