Individual
DEBRA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(510) 318-6137
Mailing address
508 ALABAMA ST, VALLEJO, CA 94590-4446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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