Individual provider · NPI-1

Artemis Ray Allen, LPC

Counselor, Professional · Savannah, GA

NPI number1538872452
StatusActive
Last updated in NPPESJan 5, 2023

Details

NPI
1538872452
Entity type
Individual (NPI-1)
Name
Artemis Ray Allen
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2023
Certification date
Jan 5, 2023
Last updated
Jan 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC013179GAYes

Practice location

24 W Henry St
Savannah, GA 31401-6719

Phone 912-662-6282

Mailing address

1035 Bridgewater Dr
Savannah, GA 31419-5521

Phone 912-662-6282

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