Individual
MRS. AMBER MAE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2505 N BROADWAY ST, POTEAU, OK 74953-2050
(918) 635-5082
Mailing address
4186 SE 220TH RD, TALIHINA, OK 74571-6009
(580) 236-4602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PARAPROFESSIONAL
OK
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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