Monica M Anderson-Allen, LPC

Individual provider Active NPI Professional Counselor · Pine Bluff, AR

NPI 1457079428 · NPPES record last updated Aug 16, 2022

Key facts

NPI
1457079428
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
P2207010 (AR)
Practice address
2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone
(870) 534-1834
Fax
(870) 534-5798
NPI assigned
Aug 16, 2022
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
P2207010ARMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2207010 AR Yes

Addresses

Primary practice location

2500 Rike Dr
Pine Bluff, AR 71603-3937

Mailing address

2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834

Other providers in Pine Bluff, AR

All providers in Pine Bluff, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.