Individual
DR. DIANE J POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.C.
Contact information
Practice address
1715 DEER TRACKS TRAIL, SUITE 260, SAINT LOUIS, MO 63131
(314) 570-7463
(314) 394-1402
Mailing address
1715 DEER TRACKS TRAIL, SUITE 260, SAINT LOUIS, MO 63131
(314) 570-7463
(314) 394-1402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001381
MO
Other
Enumeration date
02/01/2008
Last updated
06/17/2011
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