Individual
CHAD TIMOTHY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3137 HENNEPIN AVE, SUITE 207, MINNEAPOLIS, MN 55408-2601
(612) 889-8185
Mailing address
1225 LASALLE AVE, APT 1804, MINNEAPOLIS, MN 55403-2361
(612) 889-8185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1600
MN
Other
Enumeration date
06/05/2014
Last updated
10/01/2014
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