Individual provider · Type 1 NPI

Elisha Allen, LPC-IT

Professional Counselor · Mauston, WI

NPI number 1124648613 Active

Practice location

522 Gateway Ave Ste F
Mauston, WI 53948-1450

Fax (608) 716-3155

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8350-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1124648613

Elisha Allen, LPC-IT's National Provider Identifier is 1124648613, issued on Apr 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mauston, WI. The record was last updated on Mar 3, 2026.