Individual
TRACEY DOVE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
44355 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5049
(703) 655-4869
Mailing address
44355 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5049
(703) 655-4869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005549
VA
Other
Enumeration date
08/27/2011
Last updated
09/03/2013
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