MARC POWELL

LAKEWOOD, WA
NPI1912665019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61171586)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
MARC POWELL
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
Mailing Address
MARC POWELL
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753