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Individual

CHANEL LENORA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RAS

Contact information

Practice address
7225 E. SOUTHGATE DR., SUITE D, SACRAMENTO, CA 95823
(916) 394-1000
(916) 394-1010
Mailing address
7225 E. SOUTHGATE DR., SUITE D, SACRAMENTO, CA 95823
(916) 394-1000
(916) 394-1010

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3408
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BRA-S6-0267
CERTIFICATION NUMBER
Enumeration date
08/03/2006
Last updated
07/08/2007
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