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1770145252
KENNISHA ALLEN
VALLEJO, CA
NPI
1770145252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
KENNISHA ALLEN
285 LARISSA LN
VALLEJO, CA 94590-7601
Phone number: 510-850-4065
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Mailing Address
KENNISHA ALLEN
285 LARISSA LN
VALLEJO, CA 94590-7601
Phone number: 510-850-4065
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