Individual
JACQUELINE COLLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 JEFFERSON ST NE STE 100, ALBUQUERQUE, NM 87109-3485
(844) 743-8506
Mailing address
5411 JEFFERSON ST NE STE 100, ALBUQUERQUE, NM 87109-3485
(844) 743-8506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21376727
—
NM
Enumeration date
03/08/2017
Last updated
03/31/2026
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