Individual
CHANELL LANEZ PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 THOMAS CIR, PORTSMOUTH, VA 23704-4106
(757) 408-6133
Mailing address
940 THOMAS CIR, PORTSMOUTH, VA 23704-4106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102000
VA
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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