Individual
MARSHALL R POWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
248 E CAPITOL ST, 840 TRUST MARK BLDG, JACKSON, MS 39201-2503
(800) 632-6074
(866) 341-7509
Mailing address
713 51ST AVE, MERIDIAN, MS 39307-6346
(601) 483-1916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0459
MS
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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