Individual
TENISHA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH WORKER
Contact information
Practice address
7362 UNIVERSITY AVE NE STE 310-5, FRIDLEY, MN 55432-3142
(616) 548-7399
Mailing address
613 GOTZIAN ST, SAINT PAUL, MN 55106-4635
(616) 548-7399
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
03/29/2024
Last updated
07/04/2024
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