Individual
GWENDOLYN FAYE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 WHITNEY AVE STE 409, GRETNA, LA 70056-2503
(504) 362-9010
(504) 362-9070
Mailing address
2237 2ND ST, NEW ORLEANS, LA 70113-2535
(601) 620-9433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/30/2020
Last updated
01/14/2021
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