Individual provider · Type 1 NPI

Broderick Purnell

Mental Health Counselor · Hayward, CA

NPI number 1548629173 Active

Practice location

22505 Woodroe Ave
Hayward, CA 94541-3410

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1548629173

Broderick Purnell's National Provider Identifier is 1548629173, issued on Feb 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on Nov 27, 2017.