Individual
MR. WAYNE OLIVER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
43565 AHLEA LN, SOUTH RIDING, VA 20152-4800
(855) 326-4673
Mailing address
3536 BRAMBLETON AVE., S.W., SUITE 3, BRAMBLETON ASSESSMENT & COUNSELING CENTER, ROANOKE, VA 24018-3536
(540) 537-9834
(540) 777-5453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005499
VA
103TC1900X
Counseling Psychologist
0701005499
VA
Other
Enumeration date
09/03/2014
Last updated
06/26/2023
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