Provider Demographics
NPI:1396125050
Name:PURSELL, COURTNEY B (LPC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:B
Last Name:PURSELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:B
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1545
Mailing Address - Country:US
Mailing Address - Phone:610-816-5728
Mailing Address - Fax:
Practice Address - Street 1:1800 N 12TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1545
Practice Address - Country:US
Practice Address - Phone:610-816-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor