Individual
MRS. JODY VANDERWAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QP
Contact information
Practice address
101 GOVERNMENT AVE SW, SUITE 300, HICKORY, NC 28602-2936
(828) 315-7700
(828) 315-7701
Mailing address
101 GOVERNMENT AVE SW, SUITE 300, HICKORY, NC 28602-2936
(828) 315-7000
(828) 315-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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