Individual
MARK POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 MASSACHUSETTS ST, GARY, IN 46402-1314
(219) 678-0255
Mailing address
7908 MAPLE AVE, GARY, IN 46403-1324
(219) 678-0255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
347D00000X
Train
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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