person
Mr. Allan Edward Harraway, AOD
Mental Health Counselor in Inglewood, California
NPI 1619170388

Allan Edward Harraway is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Allan Edward Harraway practices in Inglewood, CA and has the professional credentials of AOD. The NPI Number for Allan Edward Harraway is 1619170388 and holds a License No. C30111214 (California).

The current practice location address for Allan Edward Harraway is 614 W Manchester Blvd Ste 104, Inglewood, CA and can be reached out via phone at 310-412-0879.

Location: 614 W Manchester Blvd Ste 104, Inglewood, CA, 90018
person
Provider Profile Details
NPI Number
1619170388
Provider Name
Allan Edward Harraway
Credential
AOD
Provider Entity Type
Individual
Gender
Male
Address
614 W Manchester Blvd Ste 104, Inglewood, CA, 90018
Phone Number
310-412-0879
Fax Number
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
743045262 01 CA TAX ID
institution
Provider Business Practice Location Address Details
Address
614 W Manchester Blvd Ste 104
City
State
Zip
90301-1683
Phone Number
310-412-0879
Fax Number
person
Provider Business Mailing Address Details
Address
614 W Manchester Blvd Ste 104
City
State
Zip
90301-1683
Phone Number
310-412-0879
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C30111214 (California)
Definition
Definition to come...
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