Healthcare Provider Details

I. General information

NPI: 1720319247
Provider Name (Legal Business Name): KATHERINE POWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2010
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 E COLORADO BLVD # 2368
PASADENA CA
91106-1932
US

IV. Provider business mailing address

1308 E COLORADO BLVD # 2368
PASADENA CA
91106-1932
US

V. Phone/Fax

Practice location:
  • Phone: 323-387-3238
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number31435
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76099
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: