Donna L Powless, LPC

Individual provider Active NPI Professional Counselor · Bowler, WI

NPI 1285020701 · NPPES record last updated Apr 10, 2015

Key facts

NPI
1285020701
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1684 (WI)
Practice address
W12802 Cty Hwy a
Bowler, WI 54416
Phone
(715) 793-5055
Fax
(715) 793-5101
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1684WIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1684 WI Yes

Addresses

Primary practice location

W12802 Cty Hwy a
Bowler, WI 54416

Mailing address

W2255 Joe Summers Rd
Keshena, WI 54135-9360
Phone (715) 799-4689

Other providers in Bowler, WI

All providers in Bowler, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.