Individual provider · Type 1 NPI

Williette Powell, LICDC

Peer Specialist · Cleveland, OH

NPI number 1043758907 Active

Practice location

13422 Kinsman Rd
Cleveland, OH 44120-4410

Call (216) 283-4400 Map

Fax (216) 283-5359

Mailing address

18400 E Park Dr
Cleveland, OH 44119-2057

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000X161339 (OH)
Peer Specialist Primary 175T00000XS.1700304 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1043758907

Williette Powell, LICDC's National Provider Identifier is 1043758907, issued on Feb 10, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 8, 2020.