Individual
MARY HEATHER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LGPC
Contact information
Practice address
9733 PEMBROKE DR, HAGERSTOWN, MD 21740-1568
(301) 491-4930
Mailing address
9733 PEMBROKE DR, HAGERSTOWN, MD 21740-1568
(301) 491-4930
(301) 791-1866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11823
MD
101YM0800X
Mental Health Counselor
Primary
LGP11823
MD
103TC1900X
Counseling Psychologist
LGPC11863
MD
Other
Enumeration date
03/09/2022
Last updated
03/10/2022
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