Individual provider · Type 1 NPI

Larry Clinton Powell, LMFT

Marriage & Family Therapist · San Jose, CA

NPI number 1457485310 Active

Practice location

1769 Park Ave Ste 210
San Jose, CA 95126-2025

Fax (408) 457-7190

Mailing address

540 Patton Ave
San Jose, CA 95128-2150

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000XMFC 46424 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1457485310

Larry Clinton Powell, LMFT's National Provider Identifier is 1457485310, issued on Mar 15, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 28, 2014.