Doctor Name: | MRS. REBECCA ALLEN |
NPI Number: | 1841486255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,LPC,NCC,NCSC |
License Number: | 1084 |
Business Practice Address: | 4550 Manhattan Rd Jackson, MS - 392066022 |
Business Phone Number: | 6019819778 |
Business Fax Number: | 6019819778 |
Mailing Address: | Po Box 83103, JACKSON |
State: | MS |
Postal Code: | 392833103 |
Phone Number: | 6019819778 |
Fax Number: | 6019819778 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |