Individual
GENE HENRY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S. NCSP
Contact information
Practice address
309 VOLUNTEER AVENUE, CLINTWOOD, VA 24228-1127
(276) 926-4643
(276) 926-5597
Mailing address
PO BOX 1127, CLINTWOOD, VA 24228-1127
(276) 926-4643
(276) 926-5597
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000075
VA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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