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Individual
MICHAEL ALLEN
Active
Individual
MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CAC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0005053
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00991914
CO
Other
Enumeration date
01/25/2007
Last updated
08/09/2023
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