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Individual
DR. LISA F ALLEN
Active
Individual
DR. LISA F ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AOD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
PSY15636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356344758
—
CA
05
—
1528072386
—
CA
05
—
1598786352
—
CA
01
—
237310613
BX/BS
CA
Enumeration date
07/05/2006
Last updated
10/01/2019
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