Individual
PAULA JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6810 CRUMPLER BLVD STE 300, OLIVE BRANCH, MS 38654-1936
(901) 826-9653
Mailing address
6810 CRUMPLER BLVD STE 300, OLIVE BRANCH, MS 38654-1936
(901) 826-9653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2723
MS
101YM0800X
Mental Health Counselor
Primary
2723
MS
101YM0800X
Mental Health Counselor
88314
TX
101YM0800X
Mental Health Counselor
P-0539
MS
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000450
—
MS
01
—
W9443
MS BOARD OF SOCIAL WORKERS
MS
Enumeration date
03/05/2019
Last updated
06/08/2023
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