Individual provider · Type 1 NPI
Randy Edward Powell, LCAC
Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI number
1912413311
Active
Practice location
4755 Kingsway Dr Ste 105A
Indianapolis, IN 46205-1549
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87000080A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1912413311
Randy Edward Powell, LCAC's National Provider Identifier is 1912413311, issued on Dec 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 15, 2021.