Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | FL |
NPI | 1285090464 |
---|---|
Provider Name | Katherine Allison |
First Address | Fresno, CA 93720-2250 |
Second Address | Fresno, CA 93720-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2016 |
Last Update Date | 04/01/2016 |