Individual
ELISA N ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP
Contact information
Practice address
301 W MAIN ST, SMITHVILLE, TN 37166-1211
(615) 597-4673
(615) 597-4673
Mailing address
301 W MAIN ST, SMITHVILLE, TN 37166-1211
(615) 597-4673
(615) 597-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3737
TN
101YM0800X
Mental Health Counselor
Primary
3737
TN
101YP2500X
Professional Counselor
3737
TN
106H00000X
Marriage & Family Therapist
3737
TN
Other
Enumeration date
09/09/2015
Last updated
08/14/2016
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