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Individual

ALONZO T. POWELL SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
913 S COLLEGE RD, LAFAYETTE, LA 70503-3060
(337) 534-8433
(337) 534-8428
Mailing address
604 WINNIPEG AVE, LAFAYETTE, LA 70501-2363
(337) 806-3021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/27/2016
Last updated
12/07/2023
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