MARY POWELL

ANTIOCH, CA
NPI1780725655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
MS. MARY POWELL BA, BS, RAS
3707 SUNSET LANE
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
Mailing Address
MS. MARY POWELL BA, BS, RAS
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: