Individual
REBECCA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20501 N MAIN ST, CORNELIUS, NC 28031-8460
(704) 912-4095
(704) 943-0512
Mailing address
38 SPRING HILL CIR, ARDEN, NC 28704-9233
(704) 255-4989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24202
NC
101YP2500X
Professional Counselor
Primary
A14847
NC
Other
Enumeration date
02/05/2018
Last updated
03/15/2022
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