IndividualActive
Jon Mandracchia, PHD
NPI 1831775824 · Counseling Psychologist · St. Joseph, MO
Provider details
- NPI number
- 1831775824
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2016001839 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4525 Downs Drive
St. Joseph, MO 64507
Phone: (816) 271-4528
Approximate (ZIP-level) locationGet directions
Mailing address
4525 Downs Drive
St. Joseph, MO 64507
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2021-03-22
- Certified
- 2021-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.