Individual
MS. SUSAN R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
8550 LEE HWY, FAIRFAX, VA 22031-1515
(703) 207-2818
(703) 207-2838
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
89004
VA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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