Individual
CECILIA SMITH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LCMHCA, NCC
Contact information
Practice address
2515 WATSON AVE STE A, SANFORD, NC 27332-6174
(910) 759-0374
Mailing address
1916 BROOKCLIFF RD, SANFORD, NC 27330-7706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A18765
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
889
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27915
NC
101YM0800X
Mental Health Counselor
A18765
NC
101YP2500X
Professional Counselor
A18765
NC
171400000X
Health & Wellness Coach
—
—
251K00000X
Public Health or Welfare Agency
A18765
NC
251S00000X
Community/Behavioral Health Agency
A18765
NC
261QM0850X
Adult Mental Health Clinic/Center
A18765
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
A18765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827958
NORTH CAROLINA DEPARTMENT OF SECRETARY OF STATE
NC
Enumeration date
09/03/2019
Last updated
04/30/2024
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