Individual
EDWARD POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19436 PACKARD STREET, DETROIT, MI 48234
(313) 285-7846
Mailing address
10958 NOTTINGHAM STREET, DETROIT, MI 48224
(313) 285-7846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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