Individual
DIANNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CAP CET
Contact information
Practice address
647 34TH AVE S, ST PETERSBURG, FL 33705-3730
(727) 824-5745
Mailing address
PO BOX 664, PINELLAS PARK, FL 33780-0664
(727) 824-5745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP 1186
FL
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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