Individual
JODI M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
743
LA
101YP2500X
Professional Counselor
Primary
3302
LA
Other
Enumeration date
01/11/2007
Last updated
02/17/2014
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