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Individual

CHARLOTTE ANNE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1908 N LAURENT ST STE 120, VICTORIA, TX 77901-5475
(361) 576-4673
(361) 576-6557
Mailing address
1908 N LAURENT ST STE 120, VICTORIA, TX 77901-5475
(361) 576-4673
(361) 576-6557

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14138
TX

Other

Enumeration date
02/01/2018
Last updated
02/01/2018
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