| Doctor Name: | LINDA PURCELL |
| NPI Number: | 1790151629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC, SW |
| License Number: | 15779 |
| Business Practice Address: | 1994 Woodgate Ln Kronenwetter, WI - 544558072 |
| Business Phone Number: | 7155516499 |
| Business Fax Number: | |
| Mailing Address: | 1994 Woodgate Ln, KRONENWETTER |
| State: | WI |
| Postal Code: | 544558072 |
| Phone Number: | 7155516499 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |