Individual
MACKENZIE PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
MS, LPC, NCC
Contact information
Practice address
4696 W OVERLAND RD STE 132, BOISE, ID 83705-2816
(541) 705-0877
Mailing address
4696 W OVERLAND RD STE 132, BOISE, ID 83705-2816
(541) 705-0877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
07/24/2024
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