Individual
DEANNE RUTH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 W TAPP RD, BLOOMINGTON, IN 47403-3152
(812) 929-3647
Mailing address
3721 W TAPP RD, BLOOMINGTON, IN 47403-3152
(812) 929-3647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99105702A
IN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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