Individual
MR. GENE ROBERT PURDIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
300 S CHESTER RD STE 105, SWARTHMORE, PA 19081-1800
(484) 474-0614
Mailing address
227 SWARTHMORE AVE FL 3, SWARTHMORE, PA 19081
(860) 803-6924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC010250
PA
101YM0800X
Mental Health Counselor
PC010250
PA
101YP2500X
Professional Counselor
Primary
PC010250
PA
Other
Enumeration date
12/06/2017
Last updated
11/04/2022
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