Individual
MR. CHARLES MICHAEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
816 INDEPENDENCE BLVD, SUITE 1A, VIRGINIA BEACH, VA 23455-6010
(757) 363-6777
(757) 363-6778
Mailing address
816 INDEPENDENCE BLVD, SUITE 1A, VIRGINIA BEACH, VA 23455-6010
(757) 363-6777
(757) 363-6778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701000737
VA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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