Individual
JULIA BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
410 MORGAN CT, JOPLIN, MO 64801-1589
(479) 367-6855
Mailing address
410 MORGAN CT, JOPLIN, MO 64801-1589
(479) 367-6855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023672
MI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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