Individual
AYUSHI CLARE PURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 4TH AVE SW, ALBANY, OR 97321-2804
(808) 640-9513
Mailing address
1305 HILL ST SE, ALBANY, OR 97322-6711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/14/2022
Last updated
08/16/2023
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