# MS. TERESA MARY ALLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578629739
- **Gender:** F
- **Credential:** M.S., MFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MFC39878 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 39878 | CA | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 09/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00100NTEMFT39878012 | BLUE SHIELD | CA |
| 05 | — | 01674804 | — | CA |