Individual
DR. CYNTHIA ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
606 WADE AVE, STE 100, RALEIGH, NC 27605
(919) 443-2360
(818) 861-3321
Mailing address
606 WADE AVE, STE 100, RALEIGH, NC 27605
(919) 443-2360
(818) 861-3321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC001393
PA
103T00000X
Psychologist
Primary
4766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC001393
STATE LPC LICENSE
PA
Enumeration date
09/22/2010
Last updated
10/13/2016
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