Individual
ANTHONY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 FREEPORT BLVD STE 3, SPARKS, NV 89431-6259
(904) 862-9752
Mailing address
390 FREEPORT BLVD STE 3, SPARKS, NV 89431-6259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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