Individual
MR. GENE ROBERT PURDIE JR.
Active
Individual
MR. GENE ROBERT PURDIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
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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