Individual
ALLIENE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 E ST, SAN DIEGO, CA 92102-2024
(619) 234-3346
(619) 234-3357
Mailing address
2410 E ST, SAN DIEGO, CA 92102-2024
(619) 234-3346
(619) 234-3357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1309660618
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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