Individual
ADAM RONALD PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
161 E MALLARD DR STE 100, BOISE, ID 83706-5015
(208) 203-2781
(208) 620-2306
Mailing address
3659 S CREEKWOOD WAY, BOISE, ID 83709-6072
(208) 982-0671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-44543
ID
Other
Enumeration date
05/31/2021
Last updated
07/30/2024
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