Individual
ALYSSA HAMBLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 LINCOLN AVE, SAN RAFAEL, CA 94901-2028
(415) 459-2395
Mailing address
1477 LINCOLN AVE, SAN RAFAEL, CA 94901-2028
(415) 459-2395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21370
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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