Individual
CLAUDINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5647 DELMAR BLVD, SAINT LOUIS, MO 63112-2615
(314) 531-1707
Mailing address
4433 LACLEDE AVE, SAINT LOUIS, MO 63108-2203
(314) 531-8070
(314) 209-0912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2000164960
MO
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196092
BLUE CROSS BLUE SHIELD
MO
01
—
496001009
MHNET PROVIDER NUMBER
MO
05
—
496001009
—
MO
Enumeration date
10/20/2006
Last updated
06/06/2019
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