Provider Demographics
NPI:1710629613
Name:ALLEN, RHONDA JEAN (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JEAN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6442 S HOLLAND CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3167
Mailing Address - Country:US
Mailing Address - Phone:480-729-1053
Mailing Address - Fax:
Practice Address - Street 1:680 2ND ST
Practice Address - Street 2:
Practice Address - City:OURAY
Practice Address - State:CO
Practice Address - Zip Code:81427-5006
Practice Address - Country:US
Practice Address - Phone:719-351-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0081971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO92-004-3819OtherCO DRIVER'S LICENSE