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NPI Code Detail

MEDICARE: MR. JEFFREY SCOTT ALLEN

MEDICARE: MR. JEFFREY SCOTT ALLEN
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.976101OH
21041C0700XClinical Social WorkerI.0007541-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396822052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY SCOTT ALLEN
Provider Business Mailing Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-434-4141
Fax Number :
Provider Business Practice Location Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-434-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 02/25/2026

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Directions to “ MR. JEFFREY SCOTT ALLEN ” Practice Location

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