Individual provider · Type 1 NPI

Shannon Powe

Professional Counselor · Philadelphia, PA

NPI number 1396129268 Active

Practice location

1315 Walnut St
Philadelphia, PA 19107-4719

Call (215) 839-0450 Map

Mailing address

1521 Hellerman St
Philadelphia, PA 19149-2827

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1396129268

Shannon Powe's National Provider Identifier is 1396129268, issued on Jul 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 10, 2015.