Katherine Lora Blackstone Allen, LICSW, MHP, CMHS
NPI #1477785541 in Longview, Washington
Provider Information
- NPI Number
- 1477785541
- Entity Type
- Individual
- Name
- Katherine Lora Blackstone Allen, LICSW, MHP, CMHS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, MHP, CMHS
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 910 16TH AVE STE 120
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2374
- Phone
- (360) 200-5419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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