Individual
MS. MARGUERITE A ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN, LCMHCS, LCASA
Contact information
Practice address
110 STOCKTON ST STE M, STATESVILLE, NC 28677-5253
(980) 446-0004
(980) 272-0446
Mailing address
PO BOX 1702, STATESVILLE, NC 28687-1702
(980) 446-0004
(980) 272-0446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7551
NC
101YP2500X
Professional Counselor
LC1675
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000990300
—
MD
05
—
6104321
—
NC
Enumeration date
11/23/2005
Last updated
06/18/2021
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