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NPI Code Detail

MEDICARE: MR. PAUL ALLEN JR. LMFT

MEDICARE:  MR. PAUL  ALLEN JR. LMFT
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
1106H00000XMarriage & Family Therapist121687CA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1760847610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ALLEN JR. LMFT
Provider Business Mailing Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 909-978-7301
Fax Number :
Provider Business Practice Location Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 909-978-7301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2015
Last Update Date : 10/31/2025

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Directions to “ MR. PAUL ALLEN JR. LMFT” Practice Location

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