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NPI Code Detail

MEDICARE: ALLISON LEE HAAG

MEDICARE: ALLISON LEE HAAG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist138955CA

General Provider Information

NPI Number : 1558886929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LEE HAAG
Provider Business Mailing Address
First Line : PO BOX 5137
Second Line :
City : BERKELEY
State : CA
Zip : 94705-0137
Country : US
Telephone Number : 916-524-1511
Fax Number :
Provider Business Practice Location Address
First Line : 302 VILLAGE SQ
Second Line :
City : ORINDA
State : CA
Zip : 94563-2506
Country : US
Telephone Number : 925-386-6037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 03/09/2026

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Directions to “ ALLISON LEE HAAG ” Practice Location

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