Individual
KENNETH M PRABUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 838-6085
Mailing address
2274 HARRIS RD, BROADVIEW HEIGHTS, OH 44147-2633
(440) 526-3030
(440) 838-6085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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