David Allen, CIT, RDS

Individual provider Active NPI Mental Health Counselor · Fort Smith, AR

NPI 1154958841 · NPPES record last updated Mar 24, 2020

Key facts

NPI
1154958841
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
615 N 19TH St
Fort Smith, AR 72901-3319
Phone
(479) 785-4083
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

615 N 19TH St
Fort Smith, AR 72901-3319

Mailing address

512 S 16TH St
Fort Smith, AR 72901-4628

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.