| NPI | 1932570942 |
|---|---|
| Former Name | WILLIE EUGENE ALLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9419) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9419) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2024-03-27 |