Individual
ALLISSEN C JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 517-2368
Mailing address
18282 LAKEPOINTE DR, RIVERSIDE, CA 92503-0253
(949) 424-9651
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36047
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/03/2011
Last updated
01/06/2025
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