Individual
MRS. JULIE ANN GANT
Active
Individual
MRS. JULIE ANN GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2005038681
MO
221700000X
Art Therapist
Primary
07-210
MO
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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