Wellformed AI

NPI 1013109289 · live from the CMS NPI Registry

James B. Allen, MACNS

Counselor, Professional in Columbia, SC. National Provider Identifier 1013109289, active.

NPI record

NPI1013109289 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location455 Saint Andrews Rd, Columbia, SC 29210
Practice phone803-315-8525
Mailing address24 Millplace Ct, Irmo, SC 29063
EnumeratedAugust 13, 2007
Last updatedAugust 13, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X4609 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.