Individual
SHANIKA C POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 MEREDITH MILL RD, BRODNAX, VA 23920-2243
(434) 755-1195
Mailing address
183 MEREDITH MILL RD, BRODNAX, VA 23920-2243
(434) 755-1195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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