Individual
DEBORAH A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Mailing address
2073 N WILDFLOWER LN, CASA GRANDE, AZ 85222-6305
(520) 836-1675
(520) 421-1969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC-10317
LISAC
AZ
Enumeration date
02/18/2009
Last updated
02/18/2009
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