Bristol, Joann

Bristol, Joann is an sole proprietor health care provider with primary practice located at 900 Austin Ave Ste. 1103, Waco TX 76701-1902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bristol, Joann can be contacted via phone (254) 757-1191.

Contact Information

Primary practice address
900 Austin Ave Ste. 1103 Waco TX 76701-1902
Phone: (254) 757-1191
Fax: (254) 757-1150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17642 Texas

Profile Details

NPI number 1679609291
LBN Legal business name Bristol, Joann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Feb 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679609291 NPPES
Texas MEDICAID 040681102

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