Individual
BRIAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
145 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 470-2409
Mailing address
12478 HILLCREST DR, NEVADA CITY, CA 95959-8967
(510) 725-7766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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