Individual
ALISHA HINNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(866) 866-7946
Mailing address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(866) 866-7946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA04000
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YAD04000X
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YAD04000X
—
CA
05
—
101YAD0400X
—
CA
Enumeration date
08/11/2020
Last updated
08/11/2020
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