Jackie Powell, MAC, LISAC
Jackie Powell, MAC, LISAC is an Addiction (Substance Use Disorder) Counselor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2016.
- Licensed in
- AZ
- In the registry since
- 2016
Practice location Address checks out
6262 E Broadway Rd Ste 101Mesa, AZ 85206-6101
Phone: (480) 664-4053
Fax: (480) 452-0883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LISAC-15108 (AZ) |
|---|
Record details
| NPI number | 1366895427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAC , LISAC |
| Sole proprietor | No |
| NPI enumerated | July 13, 2016 |
| Last updated in NPPES | September 28, 2018 |
| Mailing address | 6262 E Broadway Rd, Suite 101, Mesa, AZ 85206-6101 |
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