Individual provider · Type 1 NPI

Larry Malone Powell

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1427498336 Active

Practice location

4343 Williamsbourgh Drive
Sacramento, CA 95823

Call (916) 395-3552 Map

Fax (916) 473-5766

Mailing address

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW7223 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1427498336

Larry Malone Powell's National Provider Identifier is 1427498336, issued on Jun 25, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jun 25, 2013.