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Individual

ISIAH ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 GAY STREET, PHOENIXVILLE, PA 19460-3852
(610) 917-2200
Mailing address
601 GAY ST, PHOENIXVILLE, PA 19460-3852

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23-2835448
PA
101YP2500X
Professional Counselor
23-2707806
PA

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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