Individual provider · Type 1 NPI

Fairy Mae Allen

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1194374397 Active

Practice location

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Call (916) 395-3552 Map

Mailing address

7600 Birdie Ct
Sacramento, CA 95828-4802

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194374397

Fairy Mae Allen's National Provider Identifier is 1194374397, issued on Sep 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 10, 2019.