Search › California › 106H00000X
Larry Powell, LMFT
NPI 1457485310 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1769 Park Ave Ste 210
San Jose, CA 95126 - Phone
- (408) 256-0459
- Fax
- (408) 457-7190
- Organisation at this address
- Disruptive Therapy Collective
Disruptive Therapy Collective For The Individual, Family, And ChildInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-28
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 California