| Doctor Name: | MR. ALLEN LEE MINNIG |
| NPI Number: | 1225186463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MAE,LPC |
| License Number: | LPC # 941 |
| Business Practice Address: | 737 W Main St Apt 4 Newcastle, WY - 827012727 |
| Business Phone Number: | 3077463189 |
| Business Fax Number: | |
| Mailing Address: | 737 W Main St Apt 4, NEWCASTLE |
| State: | WY |
| Postal Code: | 827012727 |
| Phone Number: | 3077463189 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC # 941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |