Individual
BREANNA ELISEA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Mailing address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8851
CA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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