| NPI | 1184869182 |
|---|---|
| Other Name | RON ELLIS POWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 111182-6006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 6220020-3503) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2018-09-13 |