Organization
CALM PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNNON PURTELL LPC (OWNER)
(972) 387-7480
Entity
Organization
Contact information
Practice address
15305 DALLAS PKWY, STE 300, ADDISON, TX 75001-4637
(972) 387-7480
(972) 387-7481
Mailing address
15305 DALLAS PKWY, STE 300, ADDISON, TX 75001-4637
(972) 387-7480
(972) 387-7481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63840
TX
101YP2500X
Professional Counselor
Primary
63840
TX
Other
Enumeration date
05/25/2011
Last updated
10/27/2011
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