Individual
JULIE LOREE BAXTER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.; LPC
Contact information
Practice address
380 E. HWY CC, A105, NIXA, MO 65714
(417) 725-8810
(417) 725-6202
Mailing address
380 E. HWY CC, A105, NIXA, MO 65714
(417) 725-8810
(417) 725-6202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012007307
MO
Other
Enumeration date
04/07/2014
Last updated
05/21/2014
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