Provider Demographics
NPI:1992425227
Name:ALLEN, WILLIAM SPURGEON
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:SPURGEON
Last Name:ALLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:BILLY
Other - Middle Name:S
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:740 GUNNISON AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3212
Mailing Address - Country:US
Mailing Address - Phone:970-557-0240
Mailing Address - Fax:970-245-3341
Practice Address - Street 1:740 GUNNISON AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3212
Practice Address - Country:US
Practice Address - Phone:970-557-0240
Practice Address - Fax:970-245-3341
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional