Provider Demographics
NPI:1568794816
Name:ALLEN, SARAH K (LCPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:K
Other - Last Name:CZAJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4223 W BETHEL ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1803
Mailing Address - Country:US
Mailing Address - Phone:208-258-4444
Mailing Address - Fax:208-258-4444
Practice Address - Street 1:410 S ORCHARD ST STE 184
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1293
Practice Address - Country:US
Practice Address - Phone:208-922-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-5136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional