Individual
ELSIE DIANA PULUPUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(385) 283-7015
Mailing address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(385) 283-7015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12288160-3501
UT
Other
Enumeration date
10/14/2020
Last updated
11/13/2023
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