Individual provider · Type 1 NPI

Ronald Ellis Powell

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1184869182 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

5965 S 900 E
Salt Lake City, UT 84121-1720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6220020-3503 (UT)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X111182-6006 (UT)

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About NPI 1184869182

Ronald Ellis Powell's National Provider Identifier is 1184869182, issued on Dec 5, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 13, 2018.