Individual provider · Type 1 NPI

Detris M. Allen, PhD

Mental Health Counselor · Salem, OR

NPI number 1740023746 Active

Practice location

2355 State St Ste 101
Salem, OR 97301-4541

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740023746

Detris M. Allen, PhD's National Provider Identifier is 1740023746, issued on Jun 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jun 17, 2024.