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Individual

MR. BERNARD SHEMAIAH COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW,BSC BH001116

Contact information

Practice address
301 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-1016
(267) 242-0939
(215) 474-5098
Mailing address
301 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-1016
(267) 242-0939
(215) 474-5098

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH001116
PA

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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