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Individual

ALLISON JOY KILLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
Mailing address
14551 ALDER LN, TUSTIN, CA 92780-6737
(714) 916-4338

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC20859
CA
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
09/27/2023
Last updated
01/27/2026
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