Keith Allen, MA, LPC
Individual provider Active NPI Professional Counselor · Grand Blanc, MI
NPI 1922439918 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1922439918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401009089 (MI)
- Practice address
- 9164 Del Rio Dr
Grand Blanc, MI 48439-8016 - Phone
- (810) 232-9950
- Fax
- (810) 232-7599
- NPI assigned
- Dec 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009089 | MI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009089 | MI | Yes |
Addresses
Primary practice location
9164 Del Rio Dr
Grand Blanc, MI 48439-8016
Mailing address
9164 Del Rio Dr
Grand Blanc, MI 48439-8016
Phone (810) 232-9950
Other providers in Grand Blanc, MI
- Ava Nicole Allen
- Brian Allen
- Damarious Dashon Allen
- Gabrielle Victoria Allen
- Gilbert P Allen Jr.
- Myra F. Alliston
- Indira Alluru
- Sara Almaliky
- Sydney Almond
- Martine Almonor
All providers in Grand Blanc, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2013. 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.