Individual
MISS EVI-LUISE POVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3958 OLD ATLANTA STATION CT SE, ATLANTA, GA 30339-1985
(470) 226-4645
Mailing address
3958 OLD ATLANTA STATION CT SE, ATLANTA, GA 30339-1985
(470) 226-4645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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