Individual
JENNIFER GADBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 334-8819
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 334-8819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192581
BLUE CROSS BLUE SHIELD
MO
01
—
682762
HEALTHLINK
MO
Enumeration date
10/02/2006
Last updated
07/08/2007
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