Individual
MR. JAY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADDICTIONS COUNSELOR
Contact information
Practice address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 315-8022
Mailing address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 315-8022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
05/20/2025
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