| Julie Ballew, Lcpc, Llc | |
|
1018 Burlington Ave Missoula MT 59801-5675 | |
| (406) 540-2779 | |
| Not Available |
| Full Name | Julie Ballew, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1018 Burlington Ave, Missoula, Montana |
| Authorized Official Name and Position | Julie K Ballew (OWNER) |
| Authorized Official Contact | 4065402779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ballew, Lcpc, Llc Po Box 921 Missoula MT 59806-0921 Ph: (406) 540-2779 | Julie Ballew, Lcpc, Llc 1018 Burlington Ave Missoula MT 59801-5675 Ph: (406) 540-2779 |
| NPI Number | 1417325192 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417325192 | NPI | - | NPPES |
| 1518355288 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11055 (Montana) | Primary |
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