Individual
MRS. KIMBERLY JEAN YAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, LCAC, MSW
Contact information
Practice address
3540 DURBIN RD, STOVER, MO 65078-1890
(317) 828-6062
Mailing address
3540 DURBIN RD, STOVER, MO 65078-1890
(317) 828-6062
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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