person
Randy Edward Powell, LCAC
Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana
NPI 1912413311

Randy Edward Powell is an Addiction (Substance Use Disorder) Counselor based in Muncie, IN and is specialized in Addiction (Substance Use Disorder). Randy Edward Powell practices in Indianapolis, IN and has the professional credentials of LCAC. The NPI Number for Randy Edward Powell is 1912413311 and holds a License No. 87000080A (Indiana).

The current practice location address for Randy Edward Powell is 4755 Kingsway Dr Ste 105A, Indianapolis, IN and can be reached out via phone at 317-803-2270.

Location: 4755 Kingsway Dr Ste 105A, Indianapolis, IN, 47304-3988
person
Provider Profile Details
NPI Number
1912413311
Provider Name
Randy Edward Powell
Credential
LCAC
Provider Entity Type
Individual
Gender
Male
Address
4755 Kingsway Dr Ste 105A, Indianapolis, IN, 47304-3988
Phone Number
317-803-2270
Fax Number
Provider Enumeration Date
12/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4755 Kingsway Dr Ste 105A
City
State
Zip
46205-1549
Phone Number
317-803-2270
Fax Number
person
Provider Business Mailing Address Details
Address
4755 Kingsway Dr Ste 105A
City
State
Zip
46205-1549
Phone Number
317-803-2270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
87000080A (Indiana)
Definition
Definition to come...
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