Lisette Ines Purvis
Driver in Camden, NJ. Individual provider (NPI-1).
NPI number1871255323
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1871255323
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisette Ines Purvis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1248 Magnolia AveCamden, NJ 08103-2824
Phone 856-655-6288
Mailing address
1248 Magnolia AveCamden, NJ 08103-2824
Phone 973-698-5733
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