Goble, Juanita

Goble, Juanita is an individual health care provider with primary practice located at 60 Professional Park Dr , Louisa KY 41230-9644. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goble, Juanita can be contacted via phone (606) 638-4332.

Contact Information

Primary practice address
60 Professional Park Dr Louisa KY 41230-9644
Phone: (606) 638-4332
Fax: (606) 638-4394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1619119013
LBN Legal business name Goble, Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jul 15th, 2015 - about 11 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 1619119013 NPPES
Kentucky MEDICAID 30610026

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