Marcus William Allen, MA
Individual provider Active NPI Marriage & Family Therapist · Jacksonville, FL
NPI 1174909683 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1174909683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1179 (FL)
- Practice address
- 4076 Mizner CT
Jacksonville, FL 32217-4300 - Phone
- (904) 614-8070
- NPI assigned
- Aug 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1712 | FL | MD | Mental Health Counselor |
| 1179 | FL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1712 | FL | |
| Marriage & Family Therapist | 106H00000X | 1179 | FL | Yes |
Addresses
Primary practice location
4076 Mizner CT
Jacksonville, FL 32217-4300
Mailing address
4076 Mizner CT
Jacksonville, FL 32217-4300
Phone (904) 614-8070
Other providers in Jacksonville, FL
- Kara Emily Allen
- Kari Christine Allen
- Katherine Jane Allen
- Lauren Allen
- Lori McCullough Allen
- Maya Allen
- Natalee Allen
- Nia Allen
- Rachel Allen
- Rosemarie Joyce Allen
All providers in Jacksonville, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.