Individual
MS. ELLEN CAROL PURISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MFT
Contact information
Practice address
23046 AVENIDA DE LA CARLOTA, #600, LAGUNA HILLS, CA 92653-1548
(949) 463-1774
(949) 282-5087
Mailing address
25282 ABILENE CT, LAGUNA HILLS, CA 92653
(949) 831-9627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS10522
CA
106H00000X
Marriage & Family Therapist
MFC19098
CA
Other
Enumeration date
12/05/2006
Last updated
12/06/2011
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