Individual
GABRIELLE ELYSE KULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 408-0014
Mailing address
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 408-0014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC014255
PA
Other
Enumeration date
08/21/2019
Last updated
12/17/2024
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