Individual
MS. KRYSTAL JACQUELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SASSAFRAS ST, AMITE, LA 70422-3425
(225) 644-8565
(225) 644-6261
Mailing address
104 SASSAFRAS ST, AMITE, LA 70422-3425
(225) 644-8565
(225) 644-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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