Jonathan Keith Allen, LMSW
Social Worker, Clinical in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1275101677
StatusActive
Last updated in NPPESApr 28, 2024
Details
- NPI
- 1275101677
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Keith Allen
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Apr 28, 2024
- Last updated
- Apr 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801118263 | MI | Yes |
Practice location
750 Towner StYpsilanti, MI 48198-5724
Phone 734-544-3050
Mailing address
555 Towner StYpsilanti, MI 48198-5723
Phone 734-544-3000 · Fax 734-544-6716
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