Provider Demographics
NPI:1033328059
Name:ALLEN, BELINDA (RC, CDP)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44836
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-0836
Mailing Address - Country:US
Mailing Address - Phone:253-538-0869
Mailing Address - Fax:
Practice Address - Street 1:7440 W MARGINAL WAY S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4141
Practice Address - Country:US
Practice Address - Phone:206-768-1990
Practice Address - Fax:206-768-8910
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00040231101Y00000X
WACP00005028101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)