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Individual

ALLIE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC I

Contact information

Practice address
2101 ALEXIAN DR STE A, SAN JOSE, CA 95116-1901
(408) 272-6071
Mailing address
2101 ALEXIAN DR STE A, SAN JOSE, CA 95116-1901
(408) 318-3099

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI40641123
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1444890921
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI40641123
CCAPP
CA
01
R1444890921
CCAPP
CA
Enumeration date
02/16/2023
Last updated
11/02/2023
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