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Individual

MS. JUDITH ANN COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, M.ED. LISAC

Contact information

Practice address
1141 E. COOLEY ST., STE 0, SHOW LOW, AZ 85901
(928) 532-3238
(928) 532-3292
Mailing address
PO BOX 3872, SHOW LOW, AZ 85902-3872
(928) 532-3238
(928) 532-3292

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11458
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC11458
AZ

Other

Enumeration date
09/20/2006
Last updated
03/14/2018
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