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Individual
FARA ALLEN
Active
Individual
FARA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
101YP2500X
Professional Counselor
PLC10360
LA
225X00000X
Occupational Therapist
Z11805
LA
Other
Enumeration date
09/13/2007
Last updated
03/31/2025
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