LARRY CLINTON POWELL

SAN JOSE, CA
NPI1457485310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC 46424)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-03-15
Last Update Date2014-07-28
Business Address
-- LARRY CLINTON POWELL LMFT
1769 PARK AVE STE 210
SAN JOSE, CA 95126-2025
Phone number: 408-256-0459
Mailing Address
-- LARRY CLINTON POWELL LMFT
540 PATTON AVE
SAN JOSE, CA 95128-2150
Phone number: 408-256-0459