Individual
MRS. KIMBERLY JEAN YAZELL
Active
Individual
MRS. KIMBERLY JEAN YAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LCAC, MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000490A
IN
1041C0700X
Clinical Social Worker
Primary
34005586A
IN
Other
Enumeration date
08/03/2006
Last updated
07/23/2025
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