Individual
JENNA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
13 DROSTE SQ, SAINT CHARLES, MO 63301-4819
(636) 519-4107
Mailing address
13 DROSTE SQ, SAINT CHARLES, MO 63301-4819
(636) 519-4107
(636) 206-2876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.013336
IL
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
178.013336
IL
101YP2500X
Professional Counselor
180.012982
MO
101YP2500X
Professional Counselor
2017013015
MO
Other
Enumeration date
07/05/2017
Last updated
08/04/2023
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