Individual
CHRIS ALLEN
Active
Individual
CHRIS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHT
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
Update your record
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