Healthcare Provider Details

I. General information

NPI: 1730573288
Provider Name (Legal Business Name): LASHONDRA ALLEN CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LASHONDRA L GOODE CADC-I

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 WILLOW PASS RD STE 100
CONCORD CA
94520-7946
US

IV. Provider business mailing address

1931 CENTER ST
BERKELEY CA
94704-1105
US

V. Phone/Fax

Practice location:
  • Phone: 510-302-9672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA064120424
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License NumberA064120424
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: