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Individual
DORIN MELIDA COLLINS
Active
Individual
DORIN MELIDA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
126664
CA
106H00000X
Marriage & Family Therapist
126664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508206848
—
CA
Enumeration date
07/15/2021
Last updated
06/27/2024
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