Individual
GAVRIEL EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
2515 BURNET AVE APT 515, CINCINNATI, OH 45219-2513
(443) 788-0238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406390-TRNE
OH
Other
Enumeration date
01/28/2025
Last updated
07/10/2025
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