Individual
MS. KATELYN J MINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
1136 W 17TH ST, SUITE B, BLOOMINGTON, IN 47404-3002
(812) 929-2193
(888) 789-8394
Mailing address
4510 N HAPPY HOLLOW RD, BLOOMINGTON, IN 47408-9523
(574) 538-9760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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