Individual
CARLOTTA A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC,CS,PRSS
Contact information
Practice address
7000 N STATELINE AVE, TEXARKANA, AR 71854
(870) 774-1315
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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