Individual
JOHN BLAKE KEITH PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT ASSOCIATE
Contact information
Practice address
1003 FLINT AVE, LUBBOCK, TX 79409-9803
(806) 742-3674
(806) 742-0260
Mailing address
1003 FLINT AVE, LUBBOCK, TX 79409-9803
(806) 742-3674
(806) 742-0260
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203070
TX
Other
Enumeration date
04/24/2018
Last updated
10/31/2024
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