Individual
SELENA MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N MULBERRY ST STE B, MUNCIE, IN 47305-1717
(765) 729-8800
Mailing address
122 N MULBERRY ST STE B, MUNCIE, IN 47305-1717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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