Individual
TANIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
40 ORRS LN, TRIADELPHIA, WV 26059-1455
(304) 909-7759
Mailing address
40 ORRS LN, TRIADELPHIA, WV 26059-1455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
02/12/2026
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