Shannon Rose Purcell
Counselor, Mental Health in Oakland, CA. Individual provider (NPI-1).
NPI number1609005347
StatusActive
Last updated in NPPESJul 2, 2009
Details
- NPI
- 1609005347
- Entity type
- Individual (NPI-1)
- Name
- Shannon Rose Purcell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2009
- Last updated
- Jul 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2370 Grande Vista PlOakland, CA 94601-1351
Phone 510-434-7990
Mailing address
2370 Grande Vista PlaceOakland, CA 94601
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