Individual
DR. MALISSA YVETTE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
470 FURYS FERRY RD, MARTINEZ, GA 30907-9506
(762) 994-6792
(706) 739-7221
Mailing address
470 FURYS FERRY RD, MARTINEZ, GA 30907-9506
(762) 994-6792
(706) 739-7221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010995
GA
Other
Enumeration date
09/28/2019
Last updated
03/28/2023
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