Individual
MR. ISAIAH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
2125 ENTERPRISE RD, GREENSBORO, NC 27408-1992
(336) 808-5488
Mailing address
2125 ENTERPRISE RD, GREENSBORO, NC 27408-1992
(336) 808-5488
(336) 500-8746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A12845
NC
101YP2500X
Professional Counselor
Primary
A12845
NC
106H00000X
Marriage & Family Therapist
A12845
NC
Other
Enumeration date
03/22/2017
Last updated
03/07/2024
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