Individual
TERESA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2805 E ZION RD, FAYETTEVILLE, AR 72703-5195
(479) 443-6496
(479) 443-2519
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0309085
AR
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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