Individual
MS. KELLY PURINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC/C
Contact information
Practice address
74 HUNTRESS AVE, SOUTH PORTLAND, ME 04106-4114
(207) 650-9484
Mailing address
74 HUNTRESS AVE, SOUTH PORTLAND, ME 04106-4114
(207) 650-9484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL2223
ME
Other
Enumeration date
04/01/2011
Last updated
01/28/2015
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