Individual
BRENDA M GRUCA-HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722
Mailing address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1300017-SUPV
OH
101YP2500X
Professional Counselor
E.1300017-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/30/2010
Last updated
05/04/2023
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