Individual
PHYLLIS ANN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 LINCOLN LN, CROWLEY, TX 76036-4014
(817) 266-2227
Mailing address
140 LINCOLN LN, CROWLEY, TX 76036-4014
(817) 266-2227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10630
TX
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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