Marcus William Allen, MA
Marriage & Family Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1174909683
StatusActive
Last updated in NPPESAug 6, 2015
Details
- NPI
- 1174909683
- Entity type
- Individual (NPI-1)
- Name
- Marcus William Allen
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2015
- Last updated
- Aug 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1179 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | 1712 | FL |
Practice location
4076 Mizner CtJacksonville, FL 32217-4300
Phone 904-614-8070
Mailing address
4076 Mizner CtJacksonville, FL 32217-4300
Phone 904-614-8070
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