# BRYAN BENJAMIN COLLINS III

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861815581
- **Authorized official:** BRYAN B COLLINS III MSW (CLINICAL THERAPIST)
- **Authorized official phone:** (307) 472-9890

## Contact information

- **Practice address:** 907 N POPLAR ST STE 183, CASPER, WY 82601-1304
- **Practice address phone:** (307) 472-9890
- **Practice address fax:** (307) 472-9891
- **Mailing address:** 907 N POPLAR ST STE 183, CASPER, WY 82601-1304
- **Mailing address phone:** (307) 472-9890
- **Mailing address fax:** (307) 472-9891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | PCSW-524 | WY | Yes |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 02/07/2014