Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | NC |
NPI | 1285388801 |
---|---|
Provider Name | Zacharias Esaias Allen SR. |
First Address | Salisbury, NC 28146-1268 |
Second Address | Huntersville, NC 28078-8460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2022 |
Last Update Date | 11/02/2022 |