Individual
MS. TREASE SUE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6727
Mailing address
1935 CIPRIAN AVE, CAMARILLO, CA 93010-2455
(805) 388-4751
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT21460
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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