Powell, Mary

Powell, Mary is an individual health care provider with primary practice located at 3707 Sunset Lane , Antioch CA 94509-6101. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Powell, Mary can be contacted via phone (925) 522-0124.

Contact Information

Primary practice address
3707 Sunset Lane Antioch CA 94509-6101
Phone: (925) 522-0124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1780725655
LBN Legal business name Powell, Mary
Credentials BA, BS, RAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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