Individual
JAZMAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 MAIN ST STE 165, HUNTINGTON BEACH, CA 92648-6429
(714) 536-0077
Mailing address
3228 E 15TH ST, LONG BEACH, CA 90804-2502
(209) 607-5004
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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