Individual
JACQUELYN A. CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
115 5TH AVE. S., PEACE OF MIND COUNSELING, LLC, LA CROSSE, WI 54601-4018
(608) 797-5679
(608) 782-4426
Mailing address
115 5TH AVE. S., PEACE OF MIND COUNSELING, LLC, LA CROSSE, WI 54601-4018
(608) 797-5679
(608) 782-4426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
21324
MN
104100000X
Social Worker
Primary
7787-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588949135
—
MN
05
—
1588949135
—
WI
Enumeration date
10/14/2011
Last updated
04/26/2016
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