Individual
MR. JOHN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-00279
Contact information
Practice address
375 W TAMARACK LN, PRESCOTT, AZ 86301-1250
(928) 830-9692
Mailing address
375 W TAMARACK LN, PRESCOTT, AZ 86301-1250
(928) 830-9692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 00279
AZ
Other
Enumeration date
01/31/2008
Last updated
02/12/2008
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