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Individual
MR. GERARD FRANCIS COLLINS JR.
Active
Individual
MR. GERARD FRANCIS COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
084270
NY
101YM0800X
Mental Health Counselor
084270
NY
1041C0700X
Clinical Social Worker
Primary
084270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084270
—
NY
Enumeration date
08/02/2011
Last updated
08/02/2011
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