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Individual
DR. ALLEN JETER
Active
Individual
DR. ALLEN JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DD,MAC,CDDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86520
PA
101YM0800X
Mental Health Counselor
—
PA
101YP1600X
Pastoral Counselor
—
PA
Other
Enumeration date
10/10/2014
Last updated
11/28/2025
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