Individual provider · NPI-1
Dr. Janet O. Allen, Ed.D, LCPC
Counselor, Mental Health · Idaho Falls, ID
NPI number1457413205
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457413205
- Entity type
- Individual (NPI-1)
- Name
- Dr. Janet O. Allen
- Credential
- Ed.D, LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCPC-104 | ID | Yes |
Practice location
2375 E Sunnyside Rd Ste CIdaho Falls, ID 83404-8281
Phone 208-529-5777 · Fax 208-529-5778
Mailing address
2375 E Sunnyside Rd Ste CIdaho Falls, ID 83404-8281
Phone 208-529-5777 · Fax 208-529-5778
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