Individual
MISS CHARLENE L POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAP, LCAS, CADC,
Contact information
Practice address
2409 DAN AND MARY ST, ELIZABETH CITY, NC 27909-9085
(252) 312-9572
Mailing address
2409 DAN AND MARY ST, ELIZABETH CITY, NC 27909-9085
(252) 312-9572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20639
NC
Other
Enumeration date
11/20/2017
Last updated
11/10/2022
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