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General NPI Number Information
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NPI Number | 1639298839
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Entity Type | Individual
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Provider Name | MOSES D POWE LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 903 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4725
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Country | US
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Telephone | 301-674-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 JANUARY DR SUITE 103
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City | SILVER SPRING
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State | MD
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Zip | 20904-6921
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Country | US
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Telephone | 301-674-8127
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC2121
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License Number State | MD
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