Individual
CRYSTAL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E PARK ST, CHAMPAIGN, IL 61820-3723
(217) 398-8080
Mailing address
202 E PARK ST, CHAMPAIGN, IL 61820-3723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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