Individual
ELLEN FLORENCE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
80-02 KEW GARDENS RD., SUITE 704, KEW GARDENS, NY 11415
(718) 520-1513
(718) 520-6460
Mailing address
PO BOX 31094, HARTFORD, CT 06150-1094
(518) 952-8140
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
07/29/2008
Last updated
07/29/2008
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