MEDICARE: CHRISTINA 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
1	101YM0800X	Mental Health Counselor		OH
2	101YM0800X	Mental Health Counselor	C.2406012	OH

General Provider Information

NPI Number	:	1033890082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA POWERS

Provider Business Mailing Address
First Line	:	487 ROSLYN AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-1242
Country	:	US
Telephone Number	:	847-373-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4983 RIDGE RD
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9738
Country	:	US
Telephone Number	:	419-681-4241
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	05/29/2024

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Directions to “ CHRISTINA POWERS ” Practice Location

Language	Start Address	Practice Location

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