Provider Information for 1861636870
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Mrs. TAMEKIA DENISE POWELL MA, LCAS, LCMHCS
Sex: Female
NPI: 1861636870
Last Updated: 2021-09-30
Certification Date: 2021-09-30
Certification Date: 2021-09-30
Details
| Name | Value | ||||||||||||||||||||||||||||
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| NPI | 1861636870 | ||||||||||||||||||||||||||||
| Enumeration Date | 2009-04-22 | ||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Mailing Address | 3948 BROWNING PL STE 205 RALEIGH, NC 27609-6512 United States Phone: 919-426-5901 | Fax: | ||||||||||||||||||||||||||||
| Primary Practice Address | 3948 BROWNING PL STE 205 RALEIGH, NC 27609-6512 United States Phone: 919-426-5901 | Fax: | ||||||||||||||||||||||||||||
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