Individual provider · Type 1 NPI

Susan R. Allen, CAC

Addiction (Substance Use Disorder) Counselor · Fairfax, VA

NPI number 1720102817 Active

Practice location

8550 Lee Hwy
Fairfax, VA 22031-1515

Fax (703) 207-2838

Mailing address

2101 E Jefferson St, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X89004 (VA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1720102817

Susan R. Allen, CAC's National Provider Identifier is 1720102817, issued on Mar 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.