MEDICARE: MS. KAREN LOIS ALLEN KAREN ALLEN

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	101YM0800X	Mental Health Counselor	13920	MD
2	101YM0800X	Mental Health Counselor	LC303304	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255610820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LOIS ALLEN KAREN ALLEN

Provider Business Mailing Address
First Line	:	4329 NORTHVIEW DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2601
Country	:	US
Telephone Number	:	301-741-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	4329 NORTHVIEW DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2601
Country	:	US
Telephone Number	:	301-741-7934
Fax Number	:

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

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	10/15/2014

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