Individual
ROBERT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2513 5TH ST, PERU, IL 61354-2401
(815) 343-2440
Mailing address
2513 5TH ST, PERU, IL 61354-2401
(815) 343-2440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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