Allred, Tyacamellia

Allred, Tyacamellia is an individual health care provider with primary practice located at 2495 W March Ln Suite 125, Stockton CA 95207-8251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Allred, Tyacamellia can be contacted via phone (209) 465-1080.

Contact Information

Primary practice address
2495 W March Ln Suite 125 Stockton CA 95207-8251
Phone: (209) 465-1080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447630736
LBN Legal business name Allred, Tyacamellia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Nov 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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