Individual
MS. DESTINE' C. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
751 NORTHWEST BLVD, GRANDVIEW, OH 43212-3856
(614) 783-6010
Mailing address
120 E 5TH ST, LIMA, OH 45804-2110
(614) 869-8183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C.2002983
OH
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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