Individual
CHRIS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHT
Contact information
Practice address
5345 HIGHWAY 18 W, JACKSON, MS 39209-9421
(601) 927-0188
(601) 292-7998
Mailing address
PO BOX 2305, CLINTON, MS 39060-2305
(601) 927-0188
(601) 292-7998
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
26049
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551264
—
MS
Enumeration date
12/30/2021
Last updated
12/30/2021
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