Individual
MRS. MORGAN CANONICI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, CRC, LPC
Contact information
Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5636
(580) 226-6727
Mailing address
2530 S. COMMERCE, ARDMORE, OK 73401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
BHRS III
OK
Enumeration date
06/13/2007
Last updated
06/07/2012
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