Underwood, Jodi M

Underwood, Jodi M is an individual health care provider with primary practice located at 4957 Big Lake Rd , Lake Charles LA 70605-6739. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Underwood, Jodi M can be contacted via phone (337) 477-0708.

Contact Information

Primary practice address
4957 Big Lake Rd Lake Charles LA 70605-6739
Phone: (337) 477-0708
Fax: (337) 477-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 743 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 3302 Louisiana

Profile Details

NPI number 1467502625
LBN Legal business name Underwood, Jodi M
Credentials MA, LPC, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Feb 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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