Provider Demographics
NPI:1912055401
Name:YOELIN-ALLEN, RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:YOELIN-ALLEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 ERINDALE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6965
Mailing Address - Country:US
Mailing Address - Phone:719-550-8756
Mailing Address - Fax:719-596-3696
Practice Address - Street 1:5555 ERINDALE DR STE 203
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6965
Practice Address - Country:US
Practice Address - Phone:719-550-8756
Practice Address - Fax:719-596-3296
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9922471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical