Provider Demographics
NPI:1699009910
Name:JABEN, ALLEN F (NCAC)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:F
Last Name:JABEN
Suffix:
Gender:M
Credentials:NCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 SW 37TH ST
Mailing Address - Street 2:GARDEN LEVEL
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2646
Mailing Address - Country:US
Mailing Address - Phone:785-246-6128
Mailing Address - Fax:785-286-1289
Practice Address - Street 1:1601 SW 37TH ST
Practice Address - Street 2:GARDEN LEVEL
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2646
Practice Address - Country:US
Practice Address - Phone:785-246-6128
Practice Address - Fax:785-286-1289
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS014833101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)