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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
LPC003163GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas W Duke LPC Professional Past Accepting new patients
Stresscare, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Watkinsville, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.