Individual
CHASITY C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 STARR AVE, STARKVILLE, MS 39759-4032
(662) 268-8059
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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