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Individual

ELLEN COUGHLIN COLLINS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
492 RT 57 WEST, WASHINGTON, NJ 07882
(908) 689-1000
(908) 689-4529
Mailing address
285 FAIRVIEW AVE, LONG VALLEY, NJ 07853
(908) 876-3378

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC00200700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2318980000
AMERIHEALTH
NJ
Enumeration date
01/13/2006
Last updated
07/08/2007
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