Individual
DYLAN MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT, SAC-IT
Contact information
Practice address
124 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1901
(414) 719-4080
Mailing address
3701 S 86TH ST, MILWAUKEE, WI 53228-1711
(414) 719-4080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8595-226
WI
Other
Enumeration date
02/07/2019
Last updated
07/15/2025
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