Provider Demographics
NPI:1245463801
Name:POWELL, VERONICA DENISE (PHD, LPC, MAC, SAP)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:DENISE
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHD, LPC, MAC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 K ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1631
Mailing Address - Country:US
Mailing Address - Phone:301-787-5635
Mailing Address - Fax:866-654-1088
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:STE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:301-787-5635
Practice Address - Fax:866-654-1088
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2801101YM0800X, 101YP2500X, 101YA0400X
DCPRC13862101YP2500X, 101YA0400X, 101YM0800X
AZLPC-15471101YP2500X
MDLC3413101YP2500X
TX73681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)