Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON MANDRACCHIA, PHD
Active Sole ProprietorDR. JON MANDRACCHIA, PHD is a Counseling Psychologist healthcare provider located in ST. JOSEPH, Missouri. NPI 1831775824 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · ST. JOSEPH, MO
Registration Details
- NPI Number
- 1831775824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2021 (5.4343639626468 yrs)
- Last Updated
- Mar 22, 2021
- License
-
2016001839 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4525 DOWNS DRIVEST. JOSEPH, MO, 64507Browse MO providers · Browse ZIP 64507
- Phone
- 8162714528
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.