Individual
JACKIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
725 BROADWAY, PADUCAH, KY 42001
(270) 442-7121
Mailing address
5100 OGILVIE AVE, PADUCAH, KY 42001-6718
(618) 317-7819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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