KENNISHA ALLEN
NPI 1770145252
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA
Active since July 03, 2019
About Kennisha Allen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNISHA ALLEN (NPI 1770145252) is an individual addiction (substance use disorder) provider in Vallejo, California and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1770145252
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENNISHA ALLEN
Location Address285 LARISSA LNVallejo, CA 94590-7601
Mailing Address285 Larissa LnVallejo, CA 94590-7601 · (510) 850-4065
Phone(510) 850-4065
Sole ProprietorYes
Enumeration DateJuly 3, 2019
✔ NPI 1770145252 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
285 LARISSA LN, Vallejo, CA 94590
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770145252, enumerated as an "individual" on July 03, 2019.
The provider is located at 285 LARISSA LN VALLEJO, CA 94590 and the phone number is (510) 850-4065.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).