Individual
CHRISTIAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 780-1174
Mailing address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 780-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1498030223
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/03/2022
Last updated
11/08/2024
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