Doctor Name: | JANIS ANNE ALLEN |
NPI Number: | 1215236302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 2283 |
Business Practice Address: | 214 Chandler Ave Eveleth, MN - 557341675 |
Business Phone Number: | 2184714327 |
Business Fax Number: | 2187449632 |
Mailing Address: | 214 Chandler Ave, EVELETH |
State: | MN |
Postal Code: | 557341675 |
Phone Number: | 2184714327 |
Fax Number: | 2187449632 |
NPI Enumeration Date: | 03/15/2011 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |