Corey Isaiah Purnell, CSAC SUPERVISEE

NPI #1508615204 in Annandale, Virginia

Provider Information

NPI Number
1508615204
Entity Type
Individual
Name
Corey Isaiah Purnell, CSAC SUPERVISEE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CSAC SUPERVISEE
Enumeration Date
May 15, 2024
Last Updated
May 15, 2024

Practice Location

Address
5105Q BACKLICK RD
ZIP Code
22003-6072
Phone
(571) 517-2430

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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