Individual
RYAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Mailing address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/10/2023
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