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NPI Code Detail

MEDICARE: MRS. COURTNEY B. PURSELL LPC

MEDICARE:  MRS. COURTNEY B. PURSELL  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1396125050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COURTNEY B. PURSELL LPC
Provider Business Mailing Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 11/10/2020

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Directions to “ MRS. COURTNEY B. PURSELL LPC” Practice Location

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