Individual
MS. TERRI J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
845 LANE ALLEN RD, SUITE B-5, LEXINGTON, KY 40504-3655
(859) 373-0572
(859) 373-0572
Mailing address
845 LANE ALLEN RD, SUITE B-5, LEXINGTON, KY 40504-3655
(859) 373-0572
(859) 373-0572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0373
KY
101YM0800X
Mental Health Counselor
1740
KY
1041C0700X
Clinical Social Worker
Primary
1740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K052780
MEDICARE PTAN
KY
Enumeration date
04/09/2007
Last updated
10/23/2020
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