Mckell-Jeffers, Gisselle Olivia

Mckell-Jeffers, Gisselle Olivia is an sole proprietor health care provider with primary practice located at 3645 N Briarwood Ln Ste A , Muncie IN 47304-5337. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Mckell-Jeffers, Gisselle Olivia can be contacted via phone (765) 289-5520.

Contact Information

Primary practice address
3645 N Briarwood Ln Ste A Muncie IN 47304-5337
Phone: (765) 289-5520
Fax: (765) 289-5840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20042827A Indiana

Profile Details

NPI number 1184970196
LBN Legal business name Mckell-Jeffers, Gisselle Olivia
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated Oct 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184970196 NPPES
Indiana MEDICAID 300051343

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