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NPI Code Detail

MEDICARE: COURTNEY POWELL LPC

MEDICARE: COURTNEY POWELL LPC
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
1101Y00000XCounselorC.1200292OH

General Provider Information

NPI Number : 1912405317
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY POWELL LPC
Provider Business Mailing Address
First Line : 7162 READING RD STE 900
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3879
Country : US
Telephone Number : 513-559-3161
Fax Number : 513-559-5475
Provider Business Practice Location Address
First Line : 7162 READING RD STE 900
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3879
Country : US
Telephone Number : 513-559-3161
Fax Number : 513-559-5475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2018
Last Update Date : 01/31/2018

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1578065405 — SIERRA LA'SHEE ELLIS
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Directions to “ COURTNEY POWELL LPC” Practice Location

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