Individual
MR. ANTHONY B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 442-9775
Mailing address
425 BROADWAY ST STE 201, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 442-9775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167456
KY
1041C0700X
Clinical Social Worker
Primary
254816
KY
Other
Enumeration date
04/09/2007
Last updated
08/25/2020
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