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Organization

BLUE SKY HEALTH & HORSES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME LYN WHITTEN (CO-OWNER/FOUNDER)
(360) 628-6166
Entity
Organization

Contact information

Practice address
2424 COUNTY ROAD 2315, LAMPASAS, TX 76520
(360) 628-6166
Mailing address
2424 COUNTY ROAD 2315, LAMPASAS, TX 76520

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720249311
MO
Enumeration date
02/21/2022
Last updated
02/21/2022
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