Individual
MRS. JENNIFER PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1135 MAKAWAO AVE STE 102, MAKAWAO, HI 96768-7401
(808) 214-7307
(808) 573-6091
Mailing address
PO BOX 1723, MAKAWAO, HI 96768-1723
(808) 214-7307
(808) 573-6091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1727
HI
106H00000X
Marriage & Family Therapist
Primary
460
HI
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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