Individual
DR. SHANTEL LORRAINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6 S LAKE AVE APT N2, ALBANY, NY 12203-1137
(772) 370-4556
Mailing address
6 S LAKE AVE APT N2, ALBANY, NY 12203-1137
(772) 370-4556
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
024999
NY
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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