Individual
DR. ALLISON L.V. ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4001 HIGHWAY 104 MENTAL HEALTH DEPARTMENT, MULE CREEK STATE PRISON (CSP-MCSP), IONE, CA 95640
(415) 497-5439
Mailing address
PO BOX 4588, EL DORADO HILLS, CA 95762
(415) 497-5439
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY1123
HI
103TC0700X
Clinical Psychologist
Primary
PSY22540
CA
Other
Enumeration date
10/16/2008
Last updated
04/18/2012
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