Individual provider · NPI-1

Brandon Allen

Social Worker, Clinical · San Leandro, CA

NPI number1174936975
StatusActive
Last updated in NPPESOct 27, 2026

Details

NPI
1174936975
Entity type
Individual (NPI-1)
Name
Brandon Allen
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2014
Certification date
Oct 27, 2026
Last updated
Oct 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical121103CAYes
101Y00000X Counselor––

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

144 Stony Point Rd
Santa Rosa, CA 95401-4122

Phone 707-521-4550

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