Jg Powell, LCAS-A

NPI 1417772211 · on the registry since 2024

Practice

Address: 1913 Lamar St
Durham, NC 27705
Phone: (919) 286-1509
Fax: (910) 897-2009
Organisation at this address: The Pickett House Family Care Home
Metro Treatment Of North Carolina L P
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina