Individual
JAIMELYN KUUIPOLANI PURVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
400 SPRING ST, SAINT PAUL, MN 55102-4437
(612) 749-1957
Mailing address
400 SPRING ST APT 331, SAINT PAUL, MN 55102-4447
(612) 749-1957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304319
MN
101YP2500X
Professional Counselor
Primary
CC02834
MN
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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