Individual
JEANIIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 COUNTY ROAD 15 LOT 200, ELKHART, IN 46516-9664
(260) 302-1329
Mailing address
1201 COUNTY ROAD 15 LOT 200, ELKHART, IN 46516-9664
(260) 302-1329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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