Individual
CHARIS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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