Individual provider · Type 1 NPI
Gina Marie Allison, LPC
Professional Counselor · Bandon, OR
NPI number
1669787115
Active
Practice location
390 1st St SW, Suite 2B
Bandon, OR 97411-4500
Mailing address
PO Box 1387
Bandon, OR 97411-1387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C2507 (OR) |
| Professional Counselor | 101YP2500X | 636 (AK) |
Professional Counselor: Definition to come...
About NPI 1669787115
Gina Marie Allison, LPC's National Provider Identifier is 1669787115, issued on Aug 9, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bandon, OR. The record was last updated on Aug 9, 2010.