Individual
MISS JANE ELIZABETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LADC, LCSW
Contact information
Practice address
3300 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-4217
(405) 464-1455
(405) 425-2930
Mailing address
PO BOX 53277, OKLAHOMA CITY, OK 73152-3277
(405) 464-1455
(405) 522-8661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC 705
OK
1041C0700X
Clinical Social Worker
Primary
4300
OK
Other
Enumeration date
05/23/2007
Last updated
05/08/2012
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