Individual
MR. LORNE JOHNNIFUL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
4329 TRESSLE VIEW PL, VIRGINIA BEACH, VA 23452-1374
(757) 618-6182
Mailing address
4329 TRESSLE VIEW PL, VIRGINIA BEACH, VA 23452-1374
(757) 618-6182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102163
VA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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