Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | MH17960 | FL |
NPI | 1003480641 |
---|---|
Provider Name | Allyson Awasthi |
First Address | North Palm Beach, FL 33408-5418 |
Second Address | North Palm Beach, FL 33408-5418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2021 |
Last Update Date | 18/05/2021 |