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Individual

BRIAN WILLIAM ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
1435 CINCINNATI ST, DAYTON, OH 45417-4614
(513) 941-4999
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7821
(513) 941-4999
(513) 941-7555

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175958
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179967
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0449851
OH
Enumeration date
04/26/2021
Last updated
01/15/2026
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