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General NPI Number Information
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NPI Number | 1417224155
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Entity Type | Individual
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Provider Name | LORALEA ALLEN LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 135 E ERIE ST STE 304
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City | KENT
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State | OH
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Zip | 44240-3599
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Country | US
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Telephone | 330-256-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 3862 WILLOW BROOK DR
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City | RAVENNA
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State | OH
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Zip | 44266-8260
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Country | US
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Telephone | 330-256-0337
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | C 1000353
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License Number State | OH
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