Individual
MRS. JULIE ANN BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 E HWY CC, SUITE A105, NIXA, MO 65714
(417) 725-8810
Mailing address
645 N JERICO ST, NIXA, MO 65714-8963
(417) 499-9276
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2005038176
MO
101YM0800X
Mental Health Counselor
2005038176
MO
101YP2500X
Professional Counselor
Primary
2005038176
MO
Other
Enumeration date
09/25/2006
Last updated
09/11/2025
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