Individual
DANICA LAEL CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 S JEFFERSON ST, AVA, MO 65608-5513
(417) 256-2570
Mailing address
808 S JEFFERSON ST, AVA, MO 65608-5513
(417) 256-2570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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