Jeter, Allen

Jeter, Allen is an sole proprietor health care provider with primary practice located at 2942 N 24Th St 114-766, Phoenix AZ 85016-7844. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jeter, Allen can be contacted via phone (480) 521-4815.

Contact Information

Primary practice address
2942 N 24Th St 114-766 Phoenix AZ 85016-7844
Phone: (480) 521-4815
Fax: (602) 424-5757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86520 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Pennsylvania
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Pennsylvania

Profile Details

NPI number 1710381314
LBN Legal business name Jeter, Allen
Credentials DD,MAC,CDDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2014
Last updated Aug 4th, 2015 - about 11 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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