Individual
MAKENNA ELZBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 N EVERETT RD APT H, MUNCIE, IN 47304-5639
(312) 544-9712
Mailing address
4051 N EVERETT RD APT H, MUNCIE, IN 47304-5639
(312) 544-9712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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