Brian Clay Allen, LPC

Individual provider Active NPI Professional Counselor · Greensboro, NC

NPI 1457528754 · NPPES record last updated May 15, 2008

Key facts

NPI
1457528754
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2504 (NC)
Practice address
1510 W Cone Blvd
Greensboro, NC 27408-4318
Phone
(336) 288-2323
Fax
(336) 288-0895
NPI assigned
May 15, 2008
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

State licenses

LicenseStateTypeSpecialty
2504NCMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2504 NC Yes

Addresses

Primary practice location

1510 W Cone Blvd
Greensboro, NC 27408-4318

Mailing address

1510 W Cone Blvd
Greensboro, NC 27408-4318
Phone (336) 288-2323

Other providers in Greensboro, NC

All providers in Greensboro, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.