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Individual

RICHARD POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

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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