Individual
JANELLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 746-7338
Mailing address
130 CALO LN, LAKE OZARK, MO 65049-9208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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