Individual
ALISSA HADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT, CHW
Contact information
Practice address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
(888) 638-8457
Mailing address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
(888) 638-8457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1587741124
CA
101YM0800X
Mental Health Counselor
—
CA
172V00000X
Community Health Worker
Primary
25-CCHW-00019
CA
Other
Enumeration date
12/12/2024
Last updated
08/14/2025
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