Individual
JEFFREY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 51831, SPARKS, NV 89435-1831
(775) 848-9392
Mailing address
2748 KIMBERLITE RD, SPARKS, NV 89436-4110
(775) 848-9392
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0764
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124339213
—
NV
Enumeration date
06/23/2010
Last updated
03/27/2025
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