Individual
BRIANNA KATELYN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC, CAADC
Contact information
Practice address
300 CORNELL DR SE BLDG 73, ALBUQUERQUE, NM 87131-7180
(505) 277-3136
Mailing address
PO BOX 252, SWIFTWATER, PA 18370-0252
(570) 588-8555
(570) 902-7762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CTB-2022-0355
NM
101YP2500X
Professional Counselor
Primary
PC008371
PA
Other
Enumeration date
04/18/2017
Last updated
03/22/2023
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