Provider Demographics
NPI:1245942192
Name:ALLEN, DARWIN J (LPC, LCPC)
Entity type:Individual
Prefix:
First Name:DARWIN
Middle Name:J
Last Name:ALLEN
Suffix:
Gender:M
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-2162
Mailing Address - Country:US
Mailing Address - Phone:217-735-2153
Mailing Address - Fax:
Practice Address - Street 1:521 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-2162
Practice Address - Country:US
Practice Address - Phone:217-735-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004266101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health