Individual
DR. GISSELLE OLIVIA MCKELL-JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3645 N BRIARWOOD LN STE A, MUNCIE, IN 47304-5337
(765) 289-5520
(765) 289-5840
Mailing address
3645 N BRIARWOOD LN STE A, MUNCIE, IN 47304-5337
(765) 289-5520
(765) 289-5840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
20042827A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300051343
—
IN
Enumeration date
07/27/2012
Last updated
10/21/2021
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