Knjaado Powell

Individual provider Active NPI Mental Health Counselor · McCordsville, IN

NPI 1306202114 · NPPES record last updated Jan 8, 2016

Key facts

NPI
1306202114
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
6868 W Kingston Dr
McCordsville, IN 46055-9221
Phone
(317) 588-4153
NPI assigned
Jan 8, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN Yes

Addresses

Primary practice location

6868 W Kingston Dr
McCordsville, IN 46055-9221

Mailing address

6868 W Kingston Dr
McCordsville, IN 46055-9221
Phone (317) 588-4153

Other providers in McCordsville, IN

All providers in McCordsville, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.