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Individual
CHANEL LENORA POWELL
Active
Individual
CHANEL LENORA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRA-S6-0267
CERTIFICATION NUMBER
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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