Allen, Jeffrey Scott

Allen, Jeffrey Scott is an individual health care provider with primary practice located at 246 Northland Dr , Medina OH 44256-3441. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Allen, Jeffrey Scott can be contacted via phone (330) 725-9195.

Contact Information

Primary practice address
246 Northland Dr Medina OH 44256-3441
Phone: (330) 725-9195
Fax: (330) 725-9187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.976101 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0007541-SUPV Ohio

Profile Details

NPI number 1396822052
LBN Legal business name Allen, Jeffrey Scott
Credentials LISW-S, LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396822052 NPPES
Ohio MEDICAID 0161130

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