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Individual

JANA T MINER-COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263
Mailing address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
77
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126559000
AETNA
01
2373507
CIGNA
01
238973
COMPSYCH
01
421545189
BLUE CROSS
AK
01
42154518999645A008
TRIWEST
AK
01
45-5503677
COMMERCIAL INSURANCE
05
MH9931
AK
Enumeration date
01/04/2007
Last updated
09/06/2012
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