Individual provider · Type 1 NPI
Alice Powell
Addiction (Substance Use Disorder) Counselor · Auburndale, FL
NPI number
1063902575
Active
Practice location
602 Melton Ave
Auburndale, FL 33823-4428
Fax (863) 967-8192
Mailing address
12409 Cedarfield Dr
Riverview, FL 33579-9702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 4655 (FL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 120247 (FL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1063902575
Alice Powell's National Provider Identifier is 1063902575, issued on May 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Auburndale, FL. The record was last updated on May 10, 2018.