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General NPI Number Information
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NPI Number | 1396921292
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Entity Type | Individual
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Provider Name | ALLEN MCLEOD LMHC
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Gender | Male
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 111 HOWARD AVE
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City | CRANSTON
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State | RI
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Zip | 02920-3001
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Country | US
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Telephone | 401-462-1028
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Fax |
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Provider Business Mailing Address
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Address Line | 111 HOWARD AVE
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City | CRANSTON
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State | RI
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Zip | 02920-3001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCDP 00417
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13144
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3738
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00870
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License Number State | RI
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