Individual
MR. JAMES DONALD POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
406 N PINCKNEY ST, MADISON, WI 53703
(608) 255-8838
Mailing address
3210 CROSS ST, MADISON, WI 53711
(608) 233-0241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
487125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39595900
—
WI
Enumeration date
01/11/2007
Last updated
07/08/2007
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