Individual
KANEIL PURIFOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
815 S 11TH ST, ARKADELPHIA, AR 71923-5805
(870) 260-2063
Mailing address
410 OUACHITA ST, ARKADELPHIA, AR 71998-0001
(870) 260-2063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2404017
AR
101YP2500X
Professional Counselor
P2404017
AR
Other
Enumeration date
06/14/2022
Last updated
05/06/2024
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