Individual
GABRIELLE MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56159 RIVERDALE DR, ELKHART, IN 46514-1144
(888) 537-5733
(888) 847-0805
Mailing address
3411 INWOOD DR, FORT WAYNE, IN 46815-5913
(772) 267-2855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99121931A
IN
171M00000X
Case Manager/Care Coordinator
00000
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99121931A
TEMP MENTAL HEALTH COUNSELOR ASSOCIATE LICENSURE
IN
Enumeration date
05/25/2022
Last updated
11/15/2023
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