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1912413311
RANDY EDWARD POWELL
INDIANAPOLIS, IN
NPI
1912413311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 87000080A)
Enumeration Date
2017-12-20
Last Update Date
2021-09-15
Business Address
RANDY EDWARD POWELL LCAC
4755 KINGSWAY DR STE 105A
INDIANAPOLIS, IN 46205-1549
Phone number: 317-803-2270
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Mailing Address
RANDY EDWARD POWELL LCAC
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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