Individual
LUCKY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 W 13TH AVE, GARY, IN 46404-1614
(219) 552-8336
Mailing address
3117 HOPKINS ST, STEGER, IL 60475-1154
(773) 595-2912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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