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NPI Code Detail

MEDICARE: BROOKE POWERS

MEDICARE: BROOKE POWERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist6249NC

General Provider Information

NPI Number : 1245941699
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE POWERS
Provider Business Mailing Address
First Line : 192 WATER FALLS RD
Second Line :
City : BOONE
State : NC
Zip : 28607-9451
Country : US
Telephone Number : 574-536-8100
Fax Number :
Provider Business Practice Location Address
First Line : 614 HOWARD ST
Second Line :
City : BOONE
State : NC
Zip : 28608-0020
Country : US
Telephone Number : 828-262-3180
Fax Number : 828-262-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2022
Last Update Date : 12/07/2022

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Directions to “ BROOKE POWERS ” Practice Location

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