Individual
MR. STYRON D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF THEOLOGY
Contact information
Practice address
1700 LAKE ST # L, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0551
Mailing address
1513 SAINT LOUIS AVE, LAKE PROVIDENCE, LA 71254-3637
(318) 418-4376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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