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NPI Code Detail

MEDICARE: DAVID ALLEN CDCA

MEDICARE: DAVID ALLEN CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194797OH

General Provider Information

NPI Number : 1093295479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALLEN CDCA
Provider Business Mailing Address
First Line : 3170 W CENTRAL AVE STE B
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 567-316-7253
Fax Number :
Provider Business Practice Location Address
First Line : 3170 W CENTRAL AVE STE B
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 567-316-7253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 03/20/2026

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Directions to “ DAVID ALLEN CDCA” Practice Location

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