Brian Allen, MFT

Individual provider Active NPI Mental Health Counselor · Grass Valley, CA

NPI 1255813176 · NPPES record last updated Sep 6, 2018

Key facts

NPI
1255813176
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
145 Glasson Way
Grass Valley, CA 95945-5723
Phone
(530) 470-2409
NPI assigned
Sep 6, 2018
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

145 Glasson Way
Grass Valley, CA 95945-5723

Mailing address

12478 Hillcrest Dr
Nevada City, CA 95959-8967
Phone (510) 725-7766

Other providers in Grass Valley, CA

All providers in Grass Valley, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.