Susan D Allen, MS LCPC
Counselor, Professional in Rockford, IL. Individual provider (NPI-1).
NPI number1104936749
StatusActive
Last updated in NPPESMar 26, 2018
Details
- NPI
- 1104936749
- Entity type
- Individual (NPI-1)
- Name
- Susan D Allen
- Credential
- MS LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Mar 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180005692 | IL | Yes |
Other names
- Susan D Penney (Other Name)
Practice location
8051 Old River RdRockford, IL 61103-8735
Phone 815-608-1205
Mailing address
8051 Old River RdRockford, IL 61103-8735
Phone 815-608-1205
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