Individual
JULIE BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2014008408
MO
101YP2500X
Professional Counselor
Primary
2014008408
MO
Other
Enumeration date
04/20/2016
Last updated
06/27/2025
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