Doctor Name: | JULIA ANNE FLYNN |
NPI Number: | 1083924393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2008003017 |
Business Practice Address: | 407 E Russell Ave Ste A5 Warrensburg, MO - 640931242 |
Business Phone Number: | 6604296678 |
Business Fax Number: | 6604296672 |
Mailing Address: | 407 E Russell Ave Ste A5, WARRENSBURG |
State: | MO |
Postal Code: | 640931242 |
Phone Number: | 6604296678 |
Fax Number: | 6604296672 |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2008003017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |