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DR. JAMES EDWARD POWELL M.A.,PH.D.LPCS/LCAS

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639165012

Individual Registrant:
DR. JAMES EDWARD POWELL M.A.,PH.D.LPCS/LCAS
Gender: M
Sole Proprietor

Location and contact information for practice:
2924 FOX PL  MOORESBORO, NC 28114-9793 US
Tel: 828-429-1240  Fax: --

Contact information for business:
2924 FOX PL  MOORESBORO, NC 28114-9793 US
Tel: 828-429-1240  Fax: --

Registration Information:
NPI: 1639165012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NC1517
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
NC3658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
6102211NC05
BCBS139VYNC01
CIGNA2246448NC01
MEDCOSTE0338-B0775NC01




HEALTH CARE JOBS NC - Page 1



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