Individual
DEKAYLA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 N GRANVILLE AVE STE C, MUNCIE, IN 47303-2149
(765) 749-7300
Mailing address
405 S CELIA AVE, MUNCIE, IN 47303
(765) 713-9429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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