Individual
SHAWN D POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
10524 EUCLID AVE, CLEVELAND, OH 44106-2205
(216) 844-2400
Mailing address
8055 MAYFIELD RD, CHESTERLAND, OH 44026-2447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1800702-SUPV
OH
101YP2500X
Professional Counselor
C. 1400400
OH
2084P0800X
Psychiatry Physician
E.1800702-SUPV
OH
Other
Enumeration date
02/19/2016
Last updated
01/13/2021
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