Individual
WILLIE EUGENE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
Mailing address
1632 THOMAS H DELPIT DR, BATON ROUGE, LA 70802-6628
(225) 572-1870
(225) 778-0992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9419
LA
101YM0800X
Mental Health Counselor
PLC9419
LA
171M00000X
Case Manager/Care Coordinator
PLC9419
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932570942
—
LA
Enumeration date
10/16/2015
Last updated
03/27/2024
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