Individual
GRACE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 453-8252
Mailing address
1341 MARKET AVE N, CANTON, OH 44714-2605
(330) 453-8252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.131587
OH
1041C0700X
Clinical Social Worker
S.1100673
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901131
—
OH
Enumeration date
10/28/2014
Last updated
10/28/2014
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