Individual
TARA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
745 N. GILBERT RD, STE 124313, GILBERT, AZ 85234
(480) 228-1400
Mailing address
745 N GILBERT RD, STE 124-313, GILBERT, AZ 85234-3375
(480) 228-1400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13154
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264150463
GROUP NPI NUMBER
AZ
Enumeration date
07/27/2009
Last updated
07/27/2009
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