Individual
MR. LARRY TODD ALLEN
Active
Individual
MR. LARRY TODD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000443672
ANTHEM BLUE CROSS BLUE SHIELD
MO
01
—
1053376467
UNITED HEALTHCARE
MO
05
—
1053376467
—
MO
Enumeration date
04/19/2006
Last updated
05/24/2011
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