Individual
CHARIS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
3100 ROCK DR, ROCK FALLS, IL 61071-2136
(815) 718-3808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35231
IL
1041C0700X
Clinical Social Worker
Primary
149.025650
IL
Other
Enumeration date
05/31/2016
Last updated
06/06/2023
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