Individual
TERESA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BUCHANAN ST, HUNTINGTON, IN 46750-1905
(765) 635-0530
Mailing address
632 BUCHANAN ST, HUNTINGTON, IN 46750-1905
(765) 635-0530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
IN
175T00000X
Peer Specialist
Primary
CAPRC1
IN
Other
Enumeration date
01/28/2022
Last updated
10/19/2022
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