Individual
COLLINS CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 HARRISON AVE, NEW ORLEANS, LA 70122-1675
(504) 564-3074
Mailing address
1360 HARRISON AVE, NEW ORLEANS, LA 70122-1675
(504) 564-3074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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