MEDICARE: SHA-RON ALLEN LPC

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1447041330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHA-RON ALLEN LPC

Provider Business Mailing Address
First Line	:	1 VINEYARD HVN
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-2251
Country	:	US
Telephone Number	:	717-982-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 VINEYARD HVN
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-2251
Country	:	US
Telephone Number	:	717-982-5678
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHA-RON ALLEN
Credential	:	LPC
Telephone Number	:	717-213-1507

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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