Individual
MR. MARK TAYLOR POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,M.ED.,NCC,CPRP
Contact information
Practice address
1250 WESTERN BLVD, STE L-2, PMB 177, JACKSONVILLE, NC 28546-6748
(828) 367-7687
Mailing address
1250 WESTERN BLVD, STE L-2, PMB 177, JACKSONVILLE, NC 28546-6748
(828) 367-7687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8113
NC
101YP2500X
Professional Counselor
LPC005643
GA
Other
Enumeration date
03/29/2010
Last updated
03/09/2013
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