Individual
MARY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
71 WILSON BLVD., SUITE A01, WAYNESBORO, VA 22939-2283
(540) 836-3659
(434) 465-6950
Mailing address
1233 FREDERICK ST, WAYNESBORO, VA 22980-5507
(540) 836-3659
(540) 434-6950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000040
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
508942
VA
101YP2500X
Professional Counselor
Primary
0701002531
VA
106H00000X
Marriage & Family Therapist
0717000438
VA
Other
Enumeration date
11/10/2016
Last updated
11/09/2023
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