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Individual

GARY RAYMOND POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.MIN, LPC

Contact information

Practice address
600 MARTINTOWN RD, NORTH AUGUSTA, SC 29841-2011
(803) 599-1506
(706) 305-3139
Mailing address
4400 WHEELER RD, MARTINEZ, GA 30907-9704
(706) 305-3137
(706) 305-3139

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3421
SC

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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