Doctor Name: | CHEVONDA CALLENDER ALLEN |
NPI Number: | 1598003188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 67941 |
Business Practice Address: | 680 N Hays Rd Suite 103 Prosper, TX - 750788658 |
Business Phone Number: | 4695540028 |
Business Fax Number: | 4692874170 |
Mailing Address: | 880 S Coit Rd Apt 706, Small Victories Counseling PROSPER |
State: | TX |
Postal Code: | 750783010 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 67941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |