Kennisha Allen
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vallejo, CA
NPI 1770145252 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1770145252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 285 Larissa LN
Vallejo, CA 94590-7601 - Phone
- (510) 850-4065
- NPI assigned
- Jul 3, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
285 Larissa LN
Vallejo, CA 94590-7601
Mailing address
285 Larissa LN
Vallejo, CA 94590-7601
Phone (510) 850-4065
Other providers in Vallejo, CA
- Angelina Marie Bello-Chong Allen
- Debra Allen
- Dian R Allen
- Georgia Carol Allen
- Heather Marie Allen
- Kimberly Marie Allen
- Myeasa Allen
- Kirsten May Alliston
- Linda Diane Allred
- Alma C. Serafini Dental Corporation
All providers in Vallejo, 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 Jul 3, 2019. 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.