Provider Demographics
NPI:1275071458
Name:POWERS, DAVID (MA, LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:POWERS
Suffix:
Gender:M
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-0247
Mailing Address - Country:US
Mailing Address - Phone:831-508-0005
Mailing Address - Fax:831-417-0443
Practice Address - Street 1:127 JEWELL ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1717
Practice Address - Country:US
Practice Address - Phone:831-508-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110906106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist