Individual
ELISE CHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1806 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 381-4578
Mailing address
310 E OLDFIELD LN APT H, MUNCIE, IN 47303-5926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10004962
IN
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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