Provider Demographics
NPI:1174496087
Name:GDULA, JOHN J (LPC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:GDULA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DUNBAR PLZ STE 102
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-3038
Mailing Address - Country:US
Mailing Address - Phone:681-265-9204
Mailing Address - Fax:855-314-6877
Practice Address - Street 1:1 DUNBAR PLZ STE 102
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064-3038
Practice Address - Country:US
Practice Address - Phone:681-265-9204
Practice Address - Fax:855-314-6877
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty