Individual
MR. JOHNATHON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
1079 THORNBERRY DR STE 203, MADISONVILLE, KY 42431-1600
(270) 874-2560
(270) 825-8081
Mailing address
300 HOPE ST, MT WASHINGTON, KY 40047-7757
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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