Provider Demographics
NPI:1639468945
Name:ALLEN, KAREN D (MED, LADCI)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:D
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MED, LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 ENDEAN DR
Mailing Address - Street 2:
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1061
Mailing Address - Country:US
Mailing Address - Phone:617-697-7922
Mailing Address - Fax:
Practice Address - Street 1:175 ENDEAN DR
Practice Address - Street 2:
Practice Address - City:EAST WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032-1061
Practice Address - Country:US
Practice Address - Phone:617-697-7922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA656101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)