Individual
RICHARD POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
441 SOUTH LIVERNOIS, SUITE 100, ROCHESTER HILLS, MI 48307-4404
(248) 467-3550
Mailing address
30821 BARRINGTON ST, MADISON HEIGHTS, MI 48071-1871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401015750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13945941
CAQH
—
01
—
6401017570
STATE OF MICHIGAN
MI
01
—
829999
NATIONAL BOARD FOR CERTIFIED COUNSELORS
—
Enumeration date
12/22/2016
Last updated
01/31/2021
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