Provider Demographics
NPI:1598003188
Name:CALLENDER ALLEN, CHEVONDA (MA, LPC-S, NCC)
Entity Type:Individual
Prefix:
First Name:CHEVONDA
Middle Name:
Last Name:CALLENDER ALLEN
Suffix:
Gender:F
Credentials:MA, LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-0673
Mailing Address - Country:US
Mailing Address - Phone:469-554-0028
Mailing Address - Fax:469-287-4170
Practice Address - Street 1:130 N PRESTON RD
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9808
Practice Address - Country:US
Practice Address - Phone:469-554-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional