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Contact Information

THERESA M ALLEN, LADC
14949 62ND ST N
STILLWATER, MN55082-6102
 Phone: 651-430-6617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for THERESA M ALLEN · (Female)

NPI Number 1437740354
Status Active
Credentials LADC
Entity Individual
Enumeration date 02/02/2021
Last updated 02/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 304754
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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