Individual
CARISSA PURVIS PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28120 PURVIS RD, INDEPENDENCE, LA 70443-3342
(601) 416-9500
Mailing address
28120 PURVIS RD, INDEPENDENCE, LA 70443-3342
(601) 416-9500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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