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General NPI Number Information
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NPI Number | 1508365917
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Entity Type | Individual
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Provider Name | JENNIFER JOAN ALLEN LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5941 MILLER RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-7771
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Country | US
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Telephone | 570-664-0441
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Fax | 505-230-4851
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | SWIFTWATER
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State | PA
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Zip | 18370-0252
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Country | US
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Telephone | 570-350-8413
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC010248
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License Number State | PA
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