MEDICARE: MS. JILLIAN POWERS MSW

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1710846373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILLIAN POWERS MSW

Provider Business Mailing Address
First Line	:	1112 SAN PEDRO DR NE # 240
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-6724
Country	:	US
Telephone Number	:	505-451-4311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 SAN PEDRO DR NE # 240
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-6724
Country	:	US
Telephone Number	:	505-451-4311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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