Individual
CHANNEL ELAINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023967
MI
Other
Enumeration date
04/16/2018
Last updated
09/10/2025
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