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Individual

MR. JUSTIN ALLEN POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
1800 SIDNEY AVE APT 4-116, PORT ORCHARD, WA 98366-2424
(787) 342-3845

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61653011
WA
171M00000X
Case Manager/Care Coordinator
CGCG61413793
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/17/2023
Last updated
04/10/2025
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