Provider Demographics
NPI:1639262611
Name:VAN ALLEN, BELINDA DEE (CDC, RRW)
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:DEE
Last Name:VAN ALLEN
Suffix:
Gender:F
Credentials:CDC, RRW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8265 GARDEN GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1010
Mailing Address - Country:US
Mailing Address - Phone:714-539-4544
Mailing Address - Fax:714-539-5483
Practice Address - Street 1:7281 GARDEN GROVE BLVD STE H
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-4212
Practice Address - Country:US
Practice Address - Phone:714-539-4544
Practice Address - Fax:714-539-5483
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CARW0905101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)