Angela Lorraine Allen
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Compton, CA
NPI 1710271879 · NPPES record last updated Jun 7, 2011
Key facts
- NPI
- 1710271879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- RS6194 (CA)
- Practice address
- 369 W Compton Blvd
Compton, CA 90220-3110 - Phone
- (310) 603-6555
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS6194 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RS6194 | CA | Yes |
Addresses
Primary practice location
369 W Compton Blvd
Compton, CA 90220-3110
Mailing address
536 Saint Louis Ave
#1
Long Beach, CA 90814-3392
Phone (562) 346-6678
Other providers in Compton, CA
- Alegria Family Medical Clinic
- Dayana Alezano
- Reginald Maceda Alfon
- Zeena Aljawad
- All 3 LLC
- Allens Adult Care Facility Inc
- Allied Masterminds
- Altamed Health Services Corp
- Alternative Pain Management Clinic
- Leilani Kisa Alvarado
All providers in Compton, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.