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CHARLES ALLEN LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861804668

Individual Registrant:
 CHARLES  ALLEN LMHC
Gender: M
Sole Proprietor

Location and contact information for practice:
1717 SEASCAPE CIR  TARPON SPRINGS, FL 34689-2962 US
Tel: 727-741-3816  Fax: --

Contact information for business:
1717 SEASCAPE CIR  TARPON SPRINGS, FL 34689-2962 US
Tel: 727-741-3816  Fax: --

Registration Information:
NPI: 1861804668
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH12507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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