Individual
MR. KEITH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
9164 DEL RIO DR, GRAND BLANC, MI 48439-8016
(810) 232-9950
(810) 232-7599
Mailing address
9164 DEL RIO DR, GRAND BLANC, MI 48439-8016
(810) 232-9950
(810) 232-7599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009089
MI
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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