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MYEASA ALLEN
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1073924007
Individual Registrant: MYEASA ALLEN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
196 GLENWOOD HERCULES, CA 94547-3566 US
Tel: 510-359-7143 Fax: --
Tel: 510-359-7143 Fax: --
Contact information for business:
196 GLENWOOD HERCULES, CA 94547-3566 US
Tel: 405-326-5121 Fax: --
Tel: 405-326-5121 Fax: --
Registration Information:
NPI: 1073924007
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| N | 106S00000X | |||
| N | 172V00000X | Other Service Providers Community Health Worker | ||
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
