Individual
MS. KORNELIA WALL PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(910) 779-0454
(910) 491-0833
Mailing address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(910) 779-0454
(910) 491-0833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23460
NC
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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