NPI 1730472804 · live from the CMS NPI Registry
Jacqueline Allen
Counselor, Mental Health in Rock Hill, SC. National Provider Identifier 1730472804, active.
NPI record
| NPI | 1730472804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730 |
| Practice phone | 803-323-0068 |
| Enumerated | May 24, 2011 |
| Last updated | December 18, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.