Individual
SUSAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 N LITCHFIELD RD, GOODYEAR, AZ 85338-1256
(480) 516-8037
Mailing address
319 N LITCHFIELD RD, GOODYEAR, AZ 85338-1256
(480) 516-8037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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