Individual
KENNETH POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
81 BRIDGE ST # 215, LOWELL, MA 01852-1270
(978) 459-2306
Mailing address
81 BRIDGE ST # 215, LOWELL, MA 01852-1270
(978) 459-2306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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