Individual
MR. COURTNEY DWAYNE COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, NCC, MBA, CPRS
Contact information
Practice address
200 MARTIN LUTHER KING JR. DR., #7730, JACKSON, TN 38302
(731) 300-1104
Mailing address
200 MARTIN LUTHER KING JR. DR., #7730, JACKSON, TN 38302
(731) 300-1104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1600
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
TN-068
TN
101YM0800X
Mental Health Counselor
7385
TN
175T00000X
Peer Specialist
000-1142
TN
Other
Enumeration date
12/27/2017
Last updated
09/03/2024
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