BENNY LEE POWELL

FORT WAYNE, IN
NPI1215163316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000082A)
Enumeration Date2009-06-03
Last Update Date2010-10-26
Business Address
-- BENNY LEE POWELL MDiv, LCAC
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 240-471-3500
Mailing Address
-- BENNY LEE POWELL MDiv, LCAC
850 N HARRISON ST ATTN: ANNE LAWSON - CREDENTIALING
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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