Individual
MRS. MARY L. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC-II
Contact information
Practice address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-4222
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-4222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1605
MA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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