Individual
DARREN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 325-0238
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 325-0238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C-09887
NM
101YM0800X
Mental Health Counselor
CSW09923200
CO
101YM0800X
Mental Health Counselor
I-05932
NM
1041C0700X
Clinical Social Worker
Primary
C-09887
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66523885
—
NM
Enumeration date
08/24/2005
Last updated
07/03/2019
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