LORNE JOHNNIFUL POWELL

VIRGINIA BEACH, VA
NPI1679836894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710102163)
Enumeration Date2012-06-21
Last Update Date2012-06-21
Business Address
Mr. LORNE JOHNNIFUL POWELL CSAC
4329 TRESSLE VIEW PL
VIRGINIA BEACH, VA 23452-1374
Phone number: 757-618-6182
Mailing Address
Mr. LORNE JOHNNIFUL POWELL CSAC
4329 TRESSLE VIEW PL
VIRGINIA BEACH, VA 23452-1374
Phone number: 757-618-6182
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