Provider Demographics
NPI:1851621205
Name:ALLEN, JAMES ROBERT (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:ALLEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3622 SHANNON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3771
Mailing Address - Country:US
Mailing Address - Phone:919-682-9195
Mailing Address - Fax:919-827-8235
Practice Address - Street 1:3622 SHANNON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3771
Practice Address - Country:US
Practice Address - Phone:919-682-9195
Practice Address - Fax:919-827-8235
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional