Individual
GABRIELLE PUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 204-4315
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 204-4315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2304912-TRNE
OH
Other
Enumeration date
08/06/2019
Last updated
09/28/2023
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