Jan Brooks Allen, LPC
Individual provider Active NPI Professional Counselor · Watkinsville, GA
NPI 1467616482 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1467616482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC003163 (GA)
- Practice address
- 1030 Village Dr
Watkinsville, GA 30677-6004 - Phone
- (706) 769-1718
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003163 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas W Duke LPC | Professional | Past | Accepting new patients |
| Stresscare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003163 | GA | Yes |
Addresses
Primary practice location
1030 Village Dr
Watkinsville, GA 30677-6004
Mailing address
1071 Old Snows Mill Rd
Bogart, GA 30622-2748
Phone (706) 769-9094
Other providers in Watkinsville, GA
- Kathryn Agel
- Robert K Ahrens
- Elizabeth Cavanah Albers
- Aletheia Health & Wellness LLC
- Gena D Alexander-Albert
- Judith Carr Allen
- William David Allen
- Allison Deroeck Psychotherapy LLC
- Ana Alviz
- Amanda D Dyer, PHD, Inc
All providers in Watkinsville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. 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.