MEDICARE: GABRIELA LESKUR COUNSELING & CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1427787928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIELA LESKUR COUNSELING & CONSULTING LLC

Provider Business Mailing Address
First Line	:	1797 RADNOR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1622
Country	:	US
Telephone Number	:	216-970-7355
Fax Number	:

Provider Business Practice Location Address
First Line	:	12417 CEDAR RD STE 21
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3157
Country	:	US
Telephone Number	:	216-485-3779
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GABRIELA LESKUR
Credential	:
Telephone Number	:	216-970-7355

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

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