Individual
TIMOTHY RAND COLLINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
140 KINGS DAUGHTERS DR STE 400, FRANKFORT, KY 40601-4242
(502) 219-2603
(502) 699-2890
Mailing address
115 BEECHWOOD AVE, FRANKFORT, KY 40601-2501
(150) 222-9787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
275897
KY
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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