Individual
ALICIA PURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11618 S STATE ST STE 1603, DRAPER, UT 84020-7123
(801) 796-2039
(801) 930-5739
Mailing address
11618 S STATE ST STE 1603, DRAPER, UT 84020-7123
(801) 796-2039
(801) 930-5739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12699043-3904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255818233
GROUP NPI TYPE 2
UT
Enumeration date
07/18/2023
Last updated
07/18/2023
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