Individual
BRYAN PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4414 OLD LA GRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
(502) 222-2927
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
(502) 222-2389
(502) 222-2927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102184
KY
101YP2500X
Professional Counselor
Primary
102184
KY
101YP2500X
Professional Counselor
1225
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30608012
—
KY
Enumeration date
01/21/2009
Last updated
09/16/2024
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