person
Mr. Evan Mccoy Powell, LPCA,LCASA
Professional Counselor in Winston Salem, North Carolina
NPI 1174868848

Evan Mccoy Powell is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Evan Mccoy Powell practices in Winston Salem, NC and has the professional credentials of LPCA,LCASA. The NPI Number for Evan Mccoy Powell is 1174868848 and holds a License No. 2913-A (North Carolina).

The current practice location address for Evan Mccoy Powell is 4140 Cherry St, Winston Salem, NC and can be reached out via phone at 336-306-9620 and via fax at 336-245-8839.

Location: 4140 Cherry St, Winston Salem, NC, 27105-2536
person
Provider Profile Details
NPI Number
1174868848
Provider Name
Evan Mccoy Powell
Credential
LPCA,LCASA
Provider Entity Type
Individual
Gender
Male
Address
4140 Cherry St, Winston Salem, NC, 27105-2536
Phone Number
336-306-9620
Fax Number
336-245-8839
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4140 Cherry St
City
State
Zip
27105-2536
Phone Number
336-306-9620
Fax Number
336-245-8839
person
Provider Business Mailing Address Details
Address
4140 Cherry St
City
State
Zip
27105-2536
Phone Number
336-306-9620
Fax Number
336-245-8839
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A11130 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2913-A (North Carolina)
Definition
Definition to come...
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