Individual
MARVIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
1501 N SOLANO DR, LAS CRUCES, NM 88001-1845
(575) 524-4144
(575) 524-6710
Mailing address
1501 N SOLANO DR, LAS CRUCES, NM 88001-1845
(575) 524-4144
(575) 524-6710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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