Doctor Name: | RONELLE DAWN ALLEN |
NPI Number: | 1104939321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCPC |
License Number: | |
Business Practice Address: | 119 W 1st St Suite 110 Dixon, IL - 610213056 |
Business Phone Number: | 8152853073 |
Business Fax Number: | 8152853103 |
Mailing Address: | 119 W 1st St, Suite 110 DIXON |
State: | IL |
Postal Code: | 610213056 |
Phone Number: | 8152853073 |
Fax Number: | 8152853103 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |