Individual
JAMES POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORK
Contact information
Practice address
1495 FRAZIER RD, RUSTON, LA 71270-1632
(318) 202-3860
Mailing address
1324 S BARNETT SPRINGS ST, RUSTON, LA 71270-5334
(318) 436-9483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11848
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11848
SOCIAL WORK
LA
Enumeration date
06/22/2016
Last updated
06/22/2016
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