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Individual

SIERRA SHANEA ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5577 AIRPORT HWY STE 200, TOLEDO, OH 43615-7364
(419) 349-2664
Mailing address
1436 COLTON ST, TOLEDO, OH 43609-2106
(419) 984-4011

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
Primary
103TA0700X
Adult Development & Aging Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TH0100X
Health Service Psychologist

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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