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Individual
MRS. WANDA IVETTE COLLAZO
Active
Individual
MRS. WANDA IVETTE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011289
VA
101YM0800X
Mental Health Counselor
8324
SC
101YM0800X
Mental Health Counselor
92450
TX
101YM0800X
Mental Health Counselor
Primary
9258
NC
Other
Enumeration date
10/10/2012
Last updated
09/18/2026
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