Individual
KNJAADO POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6868 W KINGSTON DR, MCCORDSVILLE, IN 46055-9221
(317) 588-4153
Mailing address
6868 W KINGSTON DR, MCCORDSVILLE, IN 46055-9221
(317) 588-4153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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