Individual
KEVIN DEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1026 E 1ST ST, PORT ANGELES, WA 98362-4020
(360) 452-4432
(360) 452-4599
Mailing address
1026 E 1ST ST, PORT ANGELES, WA 98362-4020
(360) 452-4432
(360) 452-4599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001181
WA
101YP2500X
Professional Counselor
RC00017145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981018
—
WA
Enumeration date
10/17/2006
Last updated
09/15/2011
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