Individual
CORAL CIUPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.2202750-TRNE
OH
104100000X
Social Worker
S.2202750-TRNE
OH
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
Other
Enumeration date
09/06/2019
Last updated
01/23/2023
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