Individual provider · Type 1 NPI

Mataji Allen, LPC

Mental Health Counselor · Medford, OR

NPI number 1811291164 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Fax (541) 724-2410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC5074 (OR)
Professional Counselor 101YP2500XC5074 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1811291164

Mataji Allen, LPC's National Provider Identifier is 1811291164, issued on Dec 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Oct 10, 2023.