Individual
TAYONA Q POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 21ST ST, HUNTINGTON, WV 25703-1812
(304) 939-7068
Mailing address
621 HANDLEY RD, HUNTINGTON, WV 25704-1017
(304) 939-7068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC.161830
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
10/26/2020
Last updated
09/21/2023
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