Individual
JOHANNA MOMAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 MALLORY LN, BRENTWOOD, TN 37027-7931
(615) 335-3328
Mailing address
PO BOX 290097, NASHVILLE, TN 37229-0097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1007
TN
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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