Individual
HEATHER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSY (WAIVER)
Contact information
Practice address
609 S GOLD ST, YREKA, CA 96097-3110
(530) 842-8466
Mailing address
17506 GOPHER CT, WEED, CA 96094-9445
(530) 598-4265
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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