Individual
MICHAEL D COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LISAC
Contact information
Practice address
141 S MCCORMICK ST STE 206L, PRESCOTT, AZ 86303-4729
(928) 777-0386
(928) 445-8650
Mailing address
141 S MCCORMICK ST STE 206L, PRESCOTT, AZ 86303-4729
(928) 777-0386
(928) 445-8650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC12400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152770
—
AZ
Enumeration date
03/01/2007
Last updated
05/09/2008
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