Provider Demographics
NPI:1477688927
Name:ALLEN, TONYA LYNN (CADCA)
Entity Type:Individual
Prefix:MISS
First Name:TONYA
Middle Name:LYNN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CADCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3246
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93385-3246
Mailing Address - Country:US
Mailing Address - Phone:661-637-2187
Mailing Address - Fax:661-326-1342
Practice Address - Street 1:504 BERNARD ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-3018
Practice Address - Country:US
Practice Address - Phone:661-637-2187
Practice Address - Fax:661-326-1342
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)