Individual
CAROL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
Mailing address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.010562
OH
104100000X
Social Worker
Primary
CDCA.010562
OH
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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