Individual
CAROLE JEAN RODON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2501B W ASH ST, COLUMBIA, MO 65203-4609
(573) 442-4161
(573) 442-4162
Mailing address
2501B W ASH ST, COLUMBIA, MO 65203-4609
(573) 442-4161
(573) 442-4162
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY01536
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074664
VALUE OPTIONS
MO
01
—
1088760
FIRST HEALTH
MO
01
—
109489
BLUE CROSS BLUE SHIELD
MO
01
—
251104
COMPSYCH
MO
01
—
5096888
CCN
MO
01
—
61-43032
UNITED HEALTHCARE
MO
Enumeration date
08/31/2006
Last updated
07/08/2007
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