Individual
LINDA D HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3301 S PROVIDENCE RD, BLDG E, COLUMBIA, MO 65203-3624
(573) 882-2511
(573) 884-4515
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001355
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127478
BLUE SHIELD/BLUE CHOICE
MO
01
—
254329
HEALTHLINK
MO
Enumeration date
05/04/2006
Last updated
08/23/2007
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