| Doctor Name: | BENITA R ALLEN |
| NPI Number: | 1912101791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED |
| License Number: | 3053-125 |
| Business Practice Address: | 300 Taconite St Suite 201 Hurley, WI - 545341546 |
| Business Phone Number: | 7155613636 |
| Business Fax Number: | 7155612128 |
| Mailing Address: | 9195 W Ruks Rd, SAXON |
| State: | WI |
| Postal Code: | 545599540 |
| Phone Number: | 7155613636 |
| Fax Number: | 7155612128 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3053-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |