Powell, Marykay

Powell, Marykay is an individual health care provider with primary practice located at 1917 E Pleasant Valley Blvd , Altoona PA 16602-7552. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Powell, Marykay can be contacted via phone (814) 201-2355.

Contact Information

Primary practice address
1917 E Pleasant Valley Blvd Altoona PA 16602-7552
Phone: (814) 201-2355
Fax: (814) 201-2355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20-05-16 Oregon

Profile Details

NPI number 1154714418
LBN Legal business name Powell, Marykay
Credentials ADDICTIONS COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2015
Last updated Aug 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154714418 NPPES
Oregon Other 20-05-16 MHACBO

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