Powell, Desarae

Powell, Desarae is an individual health care provider with primary practice located at 18719 Calvert St , Tarzana CA 91335-6812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Powell, Desarae can be contacted via phone (310) 770-3374.

Contact Information

Primary practice address
18719 Calvert St Tarzana CA 91335-6812
Phone: (310) 770-3374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23746 California

Profile Details

NPI number 1952427460
LBN Legal business name Powell, Desarae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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