Provider Demographics
NPI:1851676183
Name:ALLEN, JANENE E (MA)
Entity Type:Individual
Prefix:MRS
First Name:JANENE
Middle Name:E
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12685 DORSETT RD
Mailing Address - Street 2:#339
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-2100
Mailing Address - Country:US
Mailing Address - Phone:314-644-1557
Mailing Address - Fax:314-453-4942
Practice Address - Street 1:7750 CLAYTON RD
Practice Address - Street 2:SUITE 307A
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1353
Practice Address - Country:US
Practice Address - Phone:314-644-1557
Practice Address - Fax:314-453-4942
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011008122101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional