person
Shannon Lorene Purvis, LVN
Mental Health Counselor in San Jacinto, California
NPI 1750570065

Shannon Lorene Purvis is a Mental Health Counselor based in San Jacinto, CA and is specialized in Mental Health. Shannon Lorene Purvis practices in San Jacinto, CA and has the professional credentials of LVN. The NPI Number for Shannon Lorene Purvis is 1750570065 and holds a License No. VN 221198 (California).

The current practice location address for Shannon Lorene Purvis is 102 W Main St, San Jacinto, CA and can be reached out via phone at 951-487-8376 and via fax at 951-487-8458.

Location: 102 W Main St, San Jacinto, CA, 92583-4121
person
Provider Profile Details
NPI Number
1750570065
Provider Name
Shannon Lorene Purvis
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
102 W Main St, San Jacinto, CA, 92583-4121
Phone Number
951-487-8376
Fax Number
951-487-8458
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 W Main St
City
State
Zip
92583-4121
Phone Number
951-487-8376
Fax Number
951-487-8458
person
Provider Business Mailing Address Details
Address
102 W Main St
City
State
Zip
92583-4121
Phone Number
951-487-8376
Fax Number
951-487-8458
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
VN 221198 (California)
Definition
Definition to come...
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