Purcell, Christina Johnson

Purcell, Christina Johnson is an individual health care provider with primary practice located at 6040 Public Landing Rd. , Snow Hill MD 21863-2453. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Purcell, Christina Johnson can be contacted via phone (410) 632-1100.

Contact Information

Primary practice address
6040 Public Landing Rd. Snow Hill MD 21863-2453
Fax: (410) 632-5682
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X G11793 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X 16323 Maryland

Profile Details

NPI number 1053458661
LBN Legal business name Purcell, Christina Johnson
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated May 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053458661 NPPES
Maryland MEDICAID 705371101

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