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Individual

DR. DENISE RENEE PURNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D., LPC, LPCMH

Contact information

Practice address
1234 MAPLE AVE, ELSMERE, DE 19805-5035
(302) 998-1084
(302) 998-1084
Mailing address
1301 KIRKWOOD HWY, ELSMERE, DE 19805-2121
(302) 383-3789
(302) 998-1084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000671
DE
101YP2500X
Professional Counselor
PC003625
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000024626
DE
Enumeration date
01/23/2007
Last updated
06/02/2014
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