Provider Demographics
NPI:1073833570
Name:POWELL, SHANA DEE (MSCC)
Entity Type:Individual
Prefix:MRS
First Name:SHANA
Middle Name:DEE
Last Name:POWELL
Suffix:
Gender:F
Credentials:MSCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31168 LEARNING LN
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3685
Mailing Address - Country:US
Mailing Address - Phone:302-645-5338
Mailing Address - Fax:302-644-4976
Practice Address - Street 1:31168 LEARNING LN
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3685
Practice Address - Country:US
Practice Address - Phone:302-645-5338
Practice Address - Fax:302-644-4976
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor