Powell, Jeffrey

Powell, Jeffrey is an sole proprietor health care provider with primary practice located at 705 42Nd Ave N , Minneapolis MN 55412-1711. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Lodging, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Powell, Jeffrey can be contacted via phone (612) 504-2047.

Contact Information

Primary practice address
705 42Nd Ave N Minneapolis MN 55412-1711
Phone: (612) 504-2047
Fax: (952) 516-5161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Lodging 177F00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1912770553
LBN Legal business name Powell, Jeffrey
Credentials ADC-T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2023
Last updated Nov 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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