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Individual

MR. JOHN EDWARD ALLEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
525 HERCULES DR, SUITE 1A, COLCHESTER, VT 05446-5993
(802) 264-5333
Mailing address
525 HERCULES DR, SUITE 1A, COLCHESTER, VT 05446-5993
(802) 264-5333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000068
VT

Other

Enumeration date
03/23/2012
Last updated
03/23/2012
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