Provider Demographics
NPI:1437919230
Name:BLEVINS, ALLISON NOREEN (MA, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:NOREEN
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 N UNION BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4075
Mailing Address - Country:US
Mailing Address - Phone:719-425-9470
Mailing Address - Fax:
Practice Address - Street 1:7730 N UNION BLVD STE 105
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4075
Practice Address - Country:US
Practice Address - Phone:719-425-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021539103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling