Individual provider · Type 1 NPI

Kornelia Wall Purcell, LCAS-A

Addiction (Substance Use Disorder) Counselor · Fayetteville, NC

NPI number 1932824372 Active

Practice location

2212 Hope Mills Rd
Fayetteville, NC 28304-4228

Fax (910) 491-0833

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-23460 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1932824372

Kornelia Wall Purcell, LCAS-A's National Provider Identifier is 1932824372, issued on Oct 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 7, 2022.