Individual
ALLISON FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
(925) 754-2002
Mailing address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
(925) 754-2002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070753
MASTER PROVIDER NUMBER
CA
01
—
0726
DRUG M/CAL BILLING NUM
CA
01
—
0753
DRUG M/CAL BILLING NUM
CA
01
—
07533
ADOL TX ANTIOCH
CA
01
—
07536
DMC ADOL ANTIOCH
CA
01
—
07553
ADOL TX BRENTWOOD
CA
01
—
07557
DMC ADOL BRENTWOOD
CA
Enumeration date
02/05/2008
Last updated
02/05/2008
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