Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 0129371 | NM |
Y | 101YM0800X | Mental Health Counselor | PC010358 | PA |
NPI | 1003135427 |
---|---|
Provider Name | Dianna W Allen |
First Address | Saxonburg, PA 16056-9504 |
Second Address | Saxonburg, PA 16056-9504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 02/02/2021 |