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Individual

ERIC W ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
232 GOODMAN RD W, SOUTHAVEN, MS 38671-8004
(662) 469-3216
Mailing address
861 SHADOW VIEW DR, HERNANDO, MS 38632-8086
(731) 439-1504

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2323
MS

Other

Enumeration date
03/16/2016
Last updated
04/04/2025
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