Individual
DR. CAROL JEAN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
117 S 9TH AVE, SUITE 6, CALDWELL, ID 83605-3754
(208) 454-3825
Mailing address
PO BOX 75, CALDWELL, ID 83606-0075
(208) 454-3825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-30
ID
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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