Doctor Name: | ALLISON EILEEN DUTTON STILLS |
NPI Number: | 1902167273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4892 San Pablo Dam Rd El Sobrante, CA - 948033222 |
Business Phone Number: | 5102223946 |
Business Fax Number: | |
Mailing Address: | 4892 San Pablo Dam Rd, EL SOBRANTE |
State: | CA |
Postal Code: | 948033222 |
Phone Number: | 5102223946 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |