RANDY EDWARD POWELL

INDIANAPOLIS, IN
NPI1912413311
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000080A)
Enumeration Date2017-12-20
Last Update Date2021-09-15
Business Address
RANDY EDWARD POWELL LCAC
4755 KINGSWAY DR STE 105A
INDIANAPOLIS, IN 46205-1549
Phone number: 317-803-2270
Mailing Address
RANDY EDWARD POWELL LCAC
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928