Provider Demographics
NPI:1013598341
Name:GRUEN, GABRIELLA EVANGELINE (MSW, LSWAIC)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:EVANGELINE
Last Name:GRUEN
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 S DISHMAN MICA RD.
Mailing Address - Street 2:STE 1
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206
Mailing Address - Country:US
Mailing Address - Phone:509-862-4719
Mailing Address - Fax:509-862-4719
Practice Address - Street 1:RESTORING HOPE COUNSELING
Practice Address - Street 2:2426 S DISHMAN MICA RD STE 1
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206
Practice Address - Country:US
Practice Address - Phone:509-862-4719
Practice Address - Fax:509-862-4719
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61053641104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker