Individual provider · Type 1 NPI

Evan McCoy Powell, LPCA, LCASA

Professional Counselor · Winston Salem, NC

NPI number 1174868848 Active

Practice location

4140 Cherry St
Winston Salem, NC 27105-2536

Fax (336) 245-8839

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2913-A (NC)
Professional Counselor Primary 101YP2500XA11130 (NC)

Professional Counselor: Definition to come...

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About NPI 1174868848

Evan McCoy Powell, LPCA, LCASA's National Provider Identifier is 1174868848, issued on Dec 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 13, 2015.