Individual
MRS. ELZORA DARLENE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2821 N VEL R PHILLIPS AVE STE 123, MILWAUKEE, WI 53212-2370
(414) 264-4217
(414) 264-4218
Mailing address
2821 N VEL R PHILLIPS AVE STE 123, MILWAUKEE, WI 53212-2370
(414) 264-4217
(414) 264-4218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1637-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39175500
—
WI
Enumeration date
04/28/2008
Last updated
06/21/2023
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