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Individual

DR. BRENT WADE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
202 ENTERPRISE DR, OXFORD, MS 38655-2761
(833) 292-9355
Mailing address
309 LEWIS LN, OXFORD, MS 38655-2011
(737) 222-1884

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2765
MS

Other

Enumeration date
07/20/2023
Last updated
12/31/2025
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