Individual
AVA CARLA PUPUHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 NW LAKE WHITNEY PL, PORT ST LUCIE, FL 34986-1629
(772) 337-8164
Mailing address
567 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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