Individual
CARLY JILL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1109 DAYLILY LOOP, GEORGETOWN, TX 78626-7153
(307) 274-6881
Mailing address
1109 DAYLILY LOOP, GEORGETOWN, TX 78626-7153
(307) 274-6881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1457
WY
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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