Benny Lee Powell, MDIV, LCAC
NPI #1215163316 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1215163316
- Entity Type
- Individual
- Name
- Benny Lee Powell, MDIV, LCAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MDIV, LCAC
- Enumeration Date
- Jun 3, 2009
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 2100 GOSHEN RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46808-1493
- Phone
- (240) 471-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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