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Individual

MR. DANIEL ROBERT COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC II

Contact information

Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
Mailing address
22592 LENOX DR, FAIRVIEW PARK, OH 44126-3605
(412) 953-2522

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1613555
OH
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/28/2017
Last updated
05/20/2024
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