Organization
JULIE BALLEW, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE K BALLEW LCPC (OWNER)
(406) 540-2779
Entity
Organization
Contact information
Practice address
1018 BURLINGTON AVE, MISSOULA, MT 59801-5675
(406) 540-2779
Mailing address
PO BOX 921, MISSOULA, MT 59806-0921
(406) 540-2779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11055
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518355288
—
MT
Enumeration date
09/11/2015
Last updated
09/11/2015
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