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General NPI Number Information
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NPI Number | 1629830435
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Entity Type | Organization
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Legal Business Name | STRENGTH BASED BEHAVIORAL HEALTH- KEN POWERS AND ASSOCIATES
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 175 OLD SCHERR RD
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City | NEW CREEK
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State | WV
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Zip | 26743-7900
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Country | US
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Telephone | 540-771-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 175 OLD SCHERR RD
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City | NEW CREEK
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State | WV
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Zip | 26743-7900
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Country | US
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Telephone | 540-771-0177
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MR. KENNETH OVED POWERS JR.
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Credential | MSW, LICSW
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Telephone | 540-771-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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