Individual
MS. PENNY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
332 CIRCLE P DR, PRESCOTT, AZ 86303-5525
(715) 486-6007
Mailing address
332 CIRCLE P DR, PRESCOTT, AZ 86303-5525
(715) 486-6007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-15394
AZ
101YP2500X
Professional Counselor
3452-125
WI
101YS0200X
School Counselor
311116
WI
Other
Enumeration date
08/30/2010
Last updated
09/29/2015
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