Provider Demographics
NPI:1083426092
Name:ALLEN, KIARA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KIARA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 W 13TH AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-2180
Mailing Address - Country:US
Mailing Address - Phone:720-340-2620
Mailing Address - Fax:
Practice Address - Street 1:1120 DELAWARE ST # 110-6
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3618
Practice Address - Country:US
Practice Address - Phone:720-340-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021118101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health