NPI 1790025153 · live from the CMS NPI Registry
Christine Allen, LPC-I
Counselor, Professional in Lake Wylie, SC. National Provider Identifier 1790025153, active.
NPI record
| NPI | 1790025153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 12 Executive Ct, Lake Wylie, SC 29710 |
| Practice phone | 803-295-0005 |
| Enumerated | February 22, 2013 |
| Last updated | February 22, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 5626 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.