Organization
ALLEN COUNSELING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI ALLEN MED, LPC (OWNER)
(314) 602-9207
Entity
Organization
Contact information
Practice address
6106 KENSINGTON CT, IMPERIAL, MO 63052-2392
(314) 602-9207
(636) 223-0905
Mailing address
6106 KENSINGTON CT, IMPERIAL, MO 63052-2392
(314) 602-9207
(636) 223-0905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC1177742
MO
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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