Individual
EBONY CHANTEL POWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 PARKLAKE DR NE STE 572, ATLANTA, GA 30345-2896
(678) 615-3007
Mailing address
2302 PARKLAKE DR NE STE 572, ATLANTA, GA 30345-2896
(678) 615-3007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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