Dion Ally

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Azusa, CA

NPI 1336094572 · NPPES record last updated Mar 3, 2026

Key facts

NPI
1336094572
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
24625 (CA)
Practice address
23701 E East Fork Rd
Azusa, CA 91702-1477
Phone
(877) 507-6242
NPI assigned
Mar 3, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24625 CA Yes

Addresses

Primary practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Mailing address

23701 E East Fork Rd
Azusa, CA 91702-1477

Other providers in Azusa, CA

All providers in Azusa, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.