Penny Allen, CACIII

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI 1841608577 · NPPES record last updated Jul 25, 2014

Key facts

NPI
1841608577
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1544 (CO)
Practice address
421 N Main St
Suite 214
Pueblo, CO 81003-3196
Phone
(719) 214-3033
NPI assigned
Jul 25, 2014
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1544 CO Yes

Addresses

Primary practice location

421 N Main St
Suite 214
Pueblo, CO 81003-3196

Mailing address

421 N Main St
Suite 214
Pueblo, CO 81003-3196
Phone (719) 214-3033

Other providers in Pueblo, CO

All providers in Pueblo, CO · Addiction (Substance Use Disorder) Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.