Individual
MS. JENNIFER LORINE EVANS POWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2578 BROADWAY # 607, NEW YORK, NY 10025-5642
(516) 847-5432
Mailing address
2578 BROADWAY # 607, NEW YORK, NY 10025-5642
(516) 847-5432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009035752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396074654
—
MO
Enumeration date
12/16/2009
Last updated
09/17/2025
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