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Organization
K ALLEN FAMILY THERAPIST INC
Active
Organization
K ALLEN FAMILY THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANITA ELIZABETH ALLEN PSY.D. (PRESIDENT & CEO)
(949) 421-7922
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 424, LAGUNA HILLS, CA 92653-3616
(949) 630-0584
(949) 663-0058
Mailing address
4 COLLINGWOOD, ALISO VIEJO, CA 92656-1939
(949) 421-7922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26567
CA
Other
Enumeration date
02/02/2011
Last updated
08/11/2014
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