Individual
JULIE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1804 HERIFORD RD, COLUMBIA, MO 65202-1942
(417) 234-0754
Mailing address
501 BROWN DR, PORTAGEVILLE, MO 63873-1015
(417) 234-0754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021035033
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346671690
—
MO
Enumeration date
10/01/2021
Last updated
10/04/2021
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