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ALEXIS POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
11006A WOOD ELVES WAY, COLUMBIA, MD 21044-1004
(410) 375-0002
(443) 524-9395
Mailing address
11006A WOOD ELVES WAY, COLUMBIA, MD 21044-1004
(410) 375-0002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13752
MD
101YP2500X
Professional Counselor
LGP6698
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LGP6698
AETNA
MD
05
LGP6698
MD
Enumeration date
05/11/2019
Last updated
09/09/2023
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