John Michael Allen, LPC-00279
Individual provider Active NPI Counselor · Prescott, AZ
NPI 1861670937 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1861670937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LPC 00279 (AZ)
- Practice address
- 375 W Tamarack LN
Prescott, AZ 86301-1250 - Phone
- (928) 830-9692
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 00279 | AZ | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 00279 | AZ | Yes |
Addresses
Primary practice location
375 W Tamarack LN
Prescott, AZ 86301-1250
Mailing address
375 W Tamarack LN
Prescott, AZ 86301-1250
Phone (928) 830-9692
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 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.