Individual
JUDY A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
570 SETTLERS RIDGE PKWY UNIT C204, WOODBURY, MN 55129-7519
(651) 283-4143
Mailing address
570 SETTLERS RIDGE PKWY UNIT C204, WOODBURY, MN 55129-7519
(651) 283-4143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300611
MN
Other
Enumeration date
07/04/2019
Last updated
04/13/2020
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