Individual
AUNDRA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC11087
Contact information
Practice address
2904 WEST AVE, DISTRICT HEIGHTS, MD 20747-2746
(202) 276-0542
Mailing address
1516 OLIVE ST NE, WASHINGTON, DC 20019-2715
(202) 276-0542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC11087
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC11087
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
DC
Enumeration date
05/18/2022
Last updated
01/23/2026
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