Allen, Miko Rae

Allen, Miko Rae is an sole proprietor health care provider with primary practice located at 175 Fairview Ln , Sonora CA 95370-4809. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Psychiatric Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Allen, Miko Rae can be contacted via phone (805) 591-9990.

Contact Information

Primary practice address
175 Fairview Ln Sonora CA 95370-4809
Phone: (805) 591-9990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 37930 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117683 California

Profile Details

NPI number 1386245694
LBN Legal business name Allen, Miko Rae
Credentials PT, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2020
Last updated Mar 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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