Provider Demographics
NPI:1811049497
Name:HODGSON, CATHY M (EDD LPC)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:M
Last Name:HODGSON
Suffix:
Gender:F
Credentials:EDD LPC
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:M
Other - Last Name:WHITSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD LPC
Mailing Address - Street 1:2200 E SUNSHINE
Mailing Address - Street 2:SUITE 338
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804
Mailing Address - Country:US
Mailing Address - Phone:417-823-8000
Mailing Address - Fax:417-823-9334
Practice Address - Street 1:2200 E SUNSHINE
Practice Address - Street 2:SUITE 338
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804
Practice Address - Country:US
Practice Address - Phone:417-823-8000
Practice Address - Fax:417-823-9334
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS000172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional