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Individual

MRS. JAIME COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
2489 DERBY RD, TROY, MI 48084-2663
(248) 495-9322
Mailing address
2489 DERBY RD, TROY, MI 48084-2663

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011129
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401011129
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
02/25/2019
Last updated
02/25/2019
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