Individual
CHARLES BENJAMIN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
402 ADAMSON SQ STE NO8, CARROLLTON, GA 30117-3252
(678) 654-7389
Mailing address
28 BROOKSHIRE DR, CARROLLTON, GA 30117-6534
(678) 654-7389
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002907
GA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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