person
Earl Winston Allen JR.
Counselor in Glen Allen, Virginia
NPI 1629682513

Earl Winston Allen JR. is a Counselor based in North Chesterfield, VA. Earl Winston Allen JR. practices in Glen Allen, VA. The NPI Number for Earl Winston Allen JR. is 1629682513 and holds a License No. 0701009760 (Virginia).

The current practice location address for Earl Winston Allen JR. is 12000 Wyndham Lake Dr Ste B, Glen Allen, VA and can be reached out via phone at 804-592-2793. You can also correspond with Earl Winston Allen JR. through the mailing address at 1409 WINSLOW RD, NORTH CHESTERFIELD, VA - 23235-4159 (mailing address contact number: 804-314-3902).

Location: 12000 Wyndham Lake Dr Ste B, Glen Allen, VA, 23235-4159
person
Provider Profile Details
NPI Number
1629682513
Provider Name
Earl Winston Allen JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12000 Wyndham Lake Dr Ste B, Glen Allen, VA, 23235-4159
Phone Number
804-592-2793
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12000 Wyndham Lake Dr Ste B
City
State
Zip
23059-7072
Phone Number
804-592-2793
Fax Number
person
Provider Business Mailing Address Details
Address
1409 Winslow Rd
City
State
Zip
23235-4159
Phone Number
804-314-3902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
0701009760 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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