Individual
ANNE M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5833 RICHMOND TAPPAHANNOCK HWY, SUITE 108-B, AYLETT, VA 23009-3007
(804) 769-7971
(804) 769-0714
Mailing address
PO BOX 284, AYLETT, VA 23009-0284
(804) 769-7971
(804) 769-0714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003219
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005412714
—
VA
05
—
005412722
—
VA
Enumeration date
09/08/2006
Last updated
07/15/2009
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