Individual
MARK ANTHONY PURPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2944 RAY WEILAND DR, BAKER, LA 70714-3250
(225) 636-2638
(225) 778-5068
Mailing address
13908 LONGVUE DR, BAKER, LA 70714-4712
(225) 892-9280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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