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General NPI Number Information
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NPI Number | 1568319648
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Entity Type | Individual
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Provider Name | JONELLE JOY POWELL LGPC
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1045 TAYLOR AVE STE 206
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City | BALTIMORE
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State | MD
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Zip | 21286-8316
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Country | US
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Telephone | 410-650-2771
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Fax |
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Provider Business Mailing Address
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Address Line | 9906 BERLINER PL APT A
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2739
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Country | US
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Telephone | 410-650-2771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP17369
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License Number State | MD
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