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Individual

DR. JEAN JOHN POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
202 GLACIER DR, MARTINEZ, CA 94553-4826
(650) 740-4191
Mailing address
202 GLACIER DR, MARTINEZ, CA 94553-4826

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
103TF0200X
Forensic Psychologist

Other

Enumeration date
05/28/2009
Last updated
11/05/2012
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