Individual
AMY A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, R-AAC
Contact information
Practice address
1400 COMMERCE AVE, LONGVIEW, WA 98632-3756
(360) 998-2047
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60547866
WA
101YM0800X
Mental Health Counselor
CG 60547866
WA
Other
Enumeration date
08/10/2016
Last updated
08/15/2024
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