Individual
ANIKA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.A.S.
Contact information
Practice address
9375 ARCHIBALD AVE, SUITE 204, RANCHO CUCAMONGA, CA 91730-5729
(909) 989-9724
(909) 989-0249
Mailing address
9375 ARCHIBALD AVE, SUITE 204, RANCHO CUCAMONGA, CA 91730-5729
(909) 989-9724
(909) 989-0249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A0601250155
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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