Individual
SHANIA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4657 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7170
(480) 718-1261
Mailing address
6913 W CARTER RD, LAVEEN, AZ 85339-7054
(708) 663-8495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23388
AZ
Other
Enumeration date
11/06/2021
Last updated
10/07/2024
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