Doctor Name: | DR. DONNA L POWLESS |
NPI Number: | 1285020701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1684 |
Business Practice Address: | W12802 Cty Hwy A Bowler, WI - 54416 |
Business Phone Number: | 7157935055 |
Business Fax Number: | 7157935101 |
Mailing Address: | W2255 Joe Summers Rd, KESHENA |
State: | WI |
Postal Code: | 541359360 |
Phone Number: | 7157994689 |
Fax Number: | 7157935101 |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |