NPI 1912770553
Jeffrey Powell, ADCT
Practice location
- Address
- 705 42nd Ave N, Minneapolis, MN 55412-1711
- Phone
- (612) 504-2047
- Fax
- (952) 516-5161
- Mailing address
- 1314 Marquette Ave APT 2408, Minneapolis, MN 55403-4133
Registered specialties (5)
Peer Specialist
Primary
Addiction (Substance Use Disorder) Counselor
Social Worker
Health & Wellness Coach
Lodging Provider
Registry record
- NPI
- 1912770553
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Nov 2023
- Record last updated
- 6 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.