Individual
MS. JODY L. HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 S. MICHIGAN STREET, SUITE 875, SOUTH BEND, IN 46601
(574) 855-7730
(574) 988-0167
Mailing address
202 S. MICHIGAN STREET, SUITE 875, SOUTH BEND, IN 46601
(574) 855-7730
(574) 988-0167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
34005886A
IN
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11490425
CAQH
IN
Enumeration date
11/20/2008
Last updated
01/19/2012
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