Individual
SAMANTHA MICHELLE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 S HIGH ST STE 220, COLUMBUS, OH 43215-5644
(614) 625-7183
Mailing address
354 FRANKFORT SQ, COLUMBUS, OH 43206-1061
(606) 560-1252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2305687
OH
106S00000X
Behavior Technician
RBT-21-175947
KY
Other
Enumeration date
07/20/2021
Last updated
01/02/2024
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