Individual
COLLIN SIDNEY KILLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
223 BROAD ST NW, CLEVELAND, TN 37311-5037
(931) 797-7882
Mailing address
260 25TH ST NE APT 2613, CLEVELAND, TN 37311-3983
(931) 797-7882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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