Doctor Name: | CYNTHIA M. PURCELL |
NPI Number: | 1235358250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | LPC004338 |
Business Practice Address: | 4006 Mundy Mill Rd Oakwood, GA - 305662807 |
Business Phone Number: | 7705323178 |
Business Fax Number: | |
Mailing Address: | Po Box 6842, GAINESVILLE |
State: | GA |
Postal Code: | 305041088 |
Phone Number: | 7705323178 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC004338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |