Individual
ALICIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
7410 MEMPHIS ARLINGTON RD, MEMPHIS, TN 38135-1908
(662) 420-9901
Mailing address
13284 WILLOW NEST DR, OLIVE BRANCH, MS 38654-5013
(662) 420-9901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4561
TN
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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