Individual
CHARLES JOSEPH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 SAN JOSE DR STE 3E, NEWPORT NEWS, VA 23606-3508
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704012675
VA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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