Blackford, Julie Ann

Blackford, Julie Ann is an sole proprietor health care provider with primary practice located at 380 E Hwy Cc Suite A105, Nixa MO 65714. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blackford, Julie Ann can be contacted via phone (417) 725-8810.

Contact Information

Primary practice address
380 E Hwy Cc Suite A105 Nixa MO 65714
Phone: (417) 725-8810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2005038176 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2005038176 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2005038176 Missouri

Profile Details

NPI number 1891896742
LBN Legal business name Blackford, Julie Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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