Individual
MICHAEL HENDRICK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1601 N TUCSON BLVD, SUITE 20, TUCSON, AZ 85716-3425
(520) 327-6602
(520) 327-6601
Mailing address
1601 N TUCSON BLVD, SUITE 20, TUCSON, AZ 85716-3425
(520) 327-6602
(520) 327-6601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-O152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSAZ00152I
ID NUMBER
AZ
Enumeration date
12/27/2006
Last updated
07/08/2007
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