Doctor Name: | DEBORAH A ALLEN |
NPI Number: | 1043459837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISAC |
License Number: | LISAC-10317 |
Business Practice Address: | 120 W Main St Casa Grande, AZ - 852224820 |
Business Phone Number: | 5208361675 |
Business Fax Number: | 5204211969 |
Mailing Address: | 2073 N Wildflower Ln, CASA GRANDE |
State: | AZ |
Postal Code: | 852226305 |
Phone Number: | 5208361675 |
Fax Number: | 5204211969 |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC-10317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |