Provider Demographics
NPI:1497269484
Name:JAMES, ALLISON JEAN (MS)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JEAN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:JEAN
Other - Last Name:EMOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:812 N ELIZABETH ST APT B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2514
Mailing Address - Country:US
Mailing Address - Phone:919-717-9835
Mailing Address - Fax:
Practice Address - Street 1:8374 SIX FORKS RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5096
Practice Address - Country:US
Practice Address - Phone:919-717-9835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician