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Individual
ANGELIQUE ALEXIS COLLINS
Active
Individual
ANGELIQUE ALEXIS COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCA3591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC2837
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA3591
MD
101YP2500X
Professional Counselor
AC2837
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
AC2837
MD
Other
Enumeration date
05/12/2023
Last updated
06/10/2026
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