| Doctor Name: | MR. WENDY ALLEN |
| NPI Number: | 1346525227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D MFT |
| License Number: | MFC21158 |
| Business Practice Address: | 6835 Fortuna Rd. Goleta, CA - 931174314 |
| Business Phone Number: | 8059622212 |
| Business Fax Number: | 8056852212 |
| Mailing Address: | 6835 Fortuna Rd, GOLETA |
| State: | CA |
| Postal Code: | 931174314 |
| Phone Number: | 8056852212 |
| Fax Number: | 8056852212 |
| NPI Enumeration Date: | 10/11/2011 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC21158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |