MEDICARE: ALLEN SCOTT HOWELL MFTI

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	106H00000X	Marriage & Family Therapist	70675	CA

General Provider Information

NPI Number	:	1851651624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN SCOTT HOWELL MFTI

Provider Business Mailing Address
First Line	:	717 PINE ST
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-3743
Country	:	US
Telephone Number	:	530-528-0226
Fax Number	:	530-528-9339

Provider Business Practice Location Address
First Line	:	717 PINE ST
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-3743
Country	:	US
Telephone Number	:	530-528-0226
Fax Number	:	530-528-9339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	05/25/2012

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