Individual
MATT ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
565 HIGHWAY 192 W, LONDON, KY 40741-2637
(606) 224-7488
Mailing address
159 WATERWORKS RD, LONDON, KY 40741-8225
(606) 224-7488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
288501
KY
174400000X
Specialist
—
KY
Other
Enumeration date
06/15/2023
Last updated
02/05/2025
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