Individual
KIMBERLY ANN PUSKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 44131-2343
(216) 235-6139
Mailing address
6865 LANTERN LN, PARMA HEIGHTS, OH 44130-4532
(216) 235-6139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1700580
OH
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/02/2017
Last updated
03/27/2019
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