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Organization
S. PURCELL COUNSELING PC
Active
Organization
S. PURCELL COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHONNON LARDELL PURCELL MS,CRC,LPC,LCAS-A (PRESIDENT)
(336) 404-4352
Entity
Organization
Contact information
Practice address
1348 WESTGATE CENTER DR STE 205-206, WINSTON SALEM, NC 27103-2984
(336) 404-4352
(336) 450-1534
Mailing address
1348 WESTGATE CENTER DR STE 205-206, WINSTON SALEM, NC 27103-2984
(336) 404-4352
(336) 450-1534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/30/2019
Last updated
06/04/2021
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