Individual
JAZZMINE MADISON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5044
(573) 803-1402
(573) 803-1405
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
03/03/2026
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