Provider Demographics
NPI:1215304720
Name:LOFTUS, ALLISON JEAN (LPCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JEAN
Last Name:LOFTUS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 NOTTINGHAM DR NW STE C
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3199
Mailing Address - Country:US
Mailing Address - Phone:507-993-7731
Mailing Address - Fax:
Practice Address - Street 1:3720 NOTTINGHAM DR NW STE C
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3199
Practice Address - Country:US
Practice Address - Phone:507-993-7731
Practice Address - Fax:507-473-4931
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1801266770OtherNPI 2