| NPI | 1821646654 |
|---|---|
| Professional Name | JACK LAWRENCE HODGDEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |