Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003216664 |
---|---|
Provider Name | Alison A. Kinney |
First Address | Orange, CA 92868-3217 |
Second Address | Santa Ana, CA 92705-5518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2014 |
Last Update Date | 01/09/2014 |