Organization
WOODLAND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CACOPARDO CPS (OWNER/MANAGER)
(620) 704-3972
Entity
Organization
Contact information
Practice address
4406 W 28TH ST, JOPLIN, MO 64804-8117
(620) 704-3972
Mailing address
4406 W 28TH ST, JOPLIN, MO 64804-8117
(620) 704-3972
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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