Individual
JIMMY L POWERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
608 KENNEDY ST, XENIA, OH 45385-5627
(937) 470-4237
Mailing address
3791 STATE ROUTE 63, LEBANON, OH 45036-9371
(513) 932-1211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E1700483
OH
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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