Provider Demographics
NPI:1013260017
Name:ALLEN-CARLIN, SHANIN RENEE (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHANIN
Middle Name:RENEE
Last Name:ALLEN-CARLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 MARKET ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5926
Mailing Address - Country:US
Mailing Address - Phone:720-443-1675
Mailing Address - Fax:
Practice Address - Street 1:1624 MARKET ST
Practice Address - Street 2:SUITE 202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5926
Practice Address - Country:US
Practice Address - Phone:720-443-1675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health