Individual
KELSEY ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E CHICKASAW AVE, MCALESTER, OK 74501-5354
(918) 302-0389
(918) 302-3809
Mailing address
4943 ULAN RD, INDIANOLA, OK 74442-5019
(918) 429-8507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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