person
Jackie Powell, MAC,LISAC
Addiction (Substance Use Disorder) Counselor in Mesa, Arizona
NPI 1366895427

Jackie Powell is an Addiction (Substance Use Disorder) Counselor based in Mesa, AZ and is specialized in Addiction (Substance Use Disorder). Jackie Powell practices in Mesa, AZ and has the professional credentials of MAC,LISAC. The NPI Number for Jackie Powell is 1366895427 and holds a License No. LISAC-15108 (Arizona).

The current practice location address for Jackie Powell is 6262 E Broadway Rd, Mesa, AZ and can be reached out via phone at 480-664-4053 and via fax at 480-452-0883.

Location: 6262 E Broadway Rd, Mesa, AZ, 85206-6101
person
Provider Profile Details
NPI Number
1366895427
Provider Name
Jackie Powell
Credential
MAC,LISAC
Provider Entity Type
Individual
Gender
Female
Address
6262 E Broadway Rd, Mesa, AZ, 85206-6101
Phone Number
480-664-4053
Fax Number
480-452-0883
Provider Enumeration Date
07/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6262 E Broadway Rd
City
State
Zip
85206-6101
Phone Number
480-664-4053
Fax Number
480-452-0883
person
Provider Business Mailing Address Details
Address
6262 E Broadway Rd
City
State
Zip
85206-6101
Phone Number
480-664-4053
Fax Number
480-452-0883
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-15108 (Arizona)
Definition
Definition to come...
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