Individual
ALLISON RADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 BROADWAY, SAN DIEGO, CA 92102-2097
(619) 736-0495
Mailing address
2404 BROADWAY, SAN DIEGO, CA 92102-2097
(619) 736-0495
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
143150
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2022
Last updated
04/29/2024
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