Individual provider · NPI-1
Nicole S Allen
Counselor, Mental Health · Fargo, ND
NPI number1982474698
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1982474698
- Entity type
- Individual (NPI-1)
- Name
- Nicole S Allen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2024
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
300 45th St S Ste 318Fargo, ND 58103-6511
Phone 646-204-2295
Mailing address
30 3rd Ave Apt 920Brooklyn, NY 11217-2388
Phone 404-500-9909
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