Kevin Jason Powell

NPI 1700031408 - Counselor - 101Y00000X

NPI Details
NPI 1700031408
Gender Male
Enumeration Date 11/21/2008
Last Updated 11/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
805 7TH ST
EUREKA CA, 95501-1113, US
Phone (707) 407-5027
Fax (707) 445-1802
Business Location
805 7TH ST
EUREKA CA, 95501-1113, US
Phone (707) 407-5027
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Kevin Jason Powell NPI is 1700031408, taxonomy code is 101Y00000X Kevin Jason Powell physically located at 805 7th St, Eureka CA, 95501-1113. NPI Number Kevin Jason Powell has the Individual type.

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1700031408 NPI number is provided on an as is basis without warranty of any kind. 1700031408 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Jason Powell are for informational purposes only.