Individual
KENYA LATRICE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1725 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9118
(678) 789-3939
Mailing address
1355 MIDNIGHT RIDE CT, HAMPTON, GA 30228-1102
(678) 789-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009224
GA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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