Individual
MISS TAISHANA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
118 NAKIA LN, LAWRENCEVILLE, VA 23868-3476
(434) 637-5040
Mailing address
118 NAKIA LN, LAWRENCEVILLE, VA 23868-3476
(434) 637-5040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701010037
VA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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