Individual provider · Type 1 NPI

Keita Powlis

Mental Health Counselor · Hayward, CA

NPI number 1740429232 Active

Practice location

22505 Woodroe Ave
Hayward, CA 94541-3410

Fax (510) 537-9222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740429232

Keita Powlis's National Provider Identifier is 1740429232, issued on Feb 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on May 22, 2014.