Individual
CHRISTOPHER DANIEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 E WALLACE AVE STE B, COEUR D ALENE, ID 83814-2948
(801) 885-0559
Mailing address
110 E WALLACE AVE STE B, COEUR D ALENE, ID 83814-2948
(801) 885-0559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10508102-3902
UT
101YM0800X
Mental Health Counselor
Primary
LMFT-9960
ID
Other
Enumeration date
07/11/2014
Last updated
09/19/2024
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