Individual
CHARLES COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7931 MACKENZIE ST, NEW ORLEANS, LA 70128-1011
(504) 338-0676
Mailing address
7931 MACKENZIE ST., NEW ORLEANS, LA 70128
(504) 338-0676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1181
LA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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