Individual
DR. WILLIAM J BERNHARDT-PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LPC, LMAC, DSW
Contact information
Practice address
220 CORNELL AVE, LIBERAL, KS 67901-3006
(620) 366-9782
Mailing address
220 CORNELL AVE, LIBERAL, KS 67901-3006
(620) 366-9782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36
KS
101YM0800X
Mental Health Counselor
750
KS
101YP2500X
Professional Counselor
750
KS
104100000X
Social Worker
Primary
4910
KS
225C00000X
Rehabilitation Counselor
205027
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K02795165
DL
KS
Enumeration date
09/15/2008
Last updated
05/09/2020
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