Individual
KLETA A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1876 S SHERIDAN AVE, SHERIDAN, WY 82801-6136
(307) 672-0475
Mailing address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 672-0475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
1533
WY
101YP2500X
Professional Counselor
Primary
LPC-1533
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/22/2013
Last updated
02/13/2025
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