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Elsie Diana Pulupuna, LCSW
Mental Health Counselor in Provo, Utah
NPI 1851999619

Elsie Diana Pulupuna is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Elsie Diana Pulupuna practices in Provo, UT and has the professional credentials of LCSW. The NPI Number for Elsie Diana Pulupuna is 1851999619 and holds a License No. 12288160-3501 (Utah).

The current practice location address for Elsie Diana Pulupuna is 180 N University Ave Ste 270, Provo, UT and can be reached out via phone at 385-283-7015.

Location: 180 N University Ave Ste 270, Provo, UT, 84601-5648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851999619
Provider Name
Elsie Diana Pulupuna
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
180 N University Ave Ste 270, Provo, UT, 84601-5648
Phone Number
385-283-7015
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
180 N University Ave Ste 270
City
Provo
State
Utah
Zip
84601-5648
Phone Number
385-283-7015
Fax Number
person
Provider Business Mailing Address Details
Address
180 N University Ave Ste 270
City
Provo
State
Utah
Zip
84601-5648
Phone Number
385-283-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12288160-3501 (Utah)
Definition
Definition to come...
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