Individual
JAMIE CACOPARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPC.
Contact information
Practice address
6296 JOPLIN ST, CARL JUNCTION, MO 64834-8404
(620) 704-3972
Mailing address
6296 JOPLIN ST, CARL JUNCTION, MO 64834-8404
(620) 704-3972
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20218
MO
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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