Angelina Marie Allen, LPC

Individual provider Active NPI Professional Counselor · Weirton, WV

NPI 1821481870 · NPPES record last updated Mar 16, 2015

Key facts

NPI
1821481870
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2163 (WV)
Practice address
501 Colliers Way
Weirton, WV 26062-5003
Phone
(304) 723-5440
Fax
(304) 723-0665
NPI assigned
Mar 16, 2015
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
2163WVMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2163 WV Yes

Addresses

Primary practice location

501 Colliers Way
Weirton, WV 26062-5003

Mailing address

501 Colliers Way
Weirton, WV 26062-5003
Phone (304) 723-5440

Other identifiers

IdentifierTypeStateIssuer
1255545117MedicaidWV

Other providers in Weirton, WV

All providers in Weirton, WV · Professional Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.