Individual
MS. JANIS A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4405 W RIVERSIDE DR, SUITE 209, BURBANK, CA 91505-4072
(818) 643-1836
(818) 578-8653
Mailing address
5333 ZELZAH AVE, 342, ENCINO, CA 91316-2221
(818) 643-1836
(818) 578-8653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33344
CA
104100000X
Social Worker
44SL05471900
NJ
104100000X
Social Worker
Primary
70414
CA
Other
Enumeration date
07/17/2012
Last updated
07/14/2016
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