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General NPI Number Information
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NPI Number | 1710591086
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Entity Type | Individual
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Provider Name | CARRIE ALLEN MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 609 HIGHWAY 50
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City | CENTERVILLE
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State | TN
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Zip | 37033-3956
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Country | US
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Telephone | 256-797-3905
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Fax |
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Provider Business Mailing Address
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Address Line | 609 HIGHWAY 50
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City | CENTERVILLE
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State | TN
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Zip | 37033-3956
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Country | US
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Telephone | 256-797-3905
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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 | 4240
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2021045372
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License Number State | MO
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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 | 87000
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4240
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License Number State | AL
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