Healthcare Provider Details

I. General information

NPI: 1497979488
Provider Name (Legal Business Name): REBECCA M POWERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15538 NOPEL AVE
FOREST RANCH CA
95942-9679
US

IV. Provider business mailing address

PO BOX 83
FOREST RANCH CA
95942-0083
US

V. Phone/Fax

Practice location:
  • Phone: 530-592-9965
  • Fax:
Mailing address:
  • Phone: 530-592-9965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT83794
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT2455
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: