Individual
KELLY JO BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4622 N BROADWAY AVE, MUNCIE, IN 47303-1083
(765) 288-8862
Mailing address
4622 N BROADWAY AVE, MUNCIE, IN 47303-1083
(765) 288-8862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001501A
IN
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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