Individual
AMELIA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
335 E MONROE AVE, BARRON, WI 54812-1479
(715) 537-6159
Mailing address
335 E MONROE AVE, BARRON, WI 54812-1479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18996-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
304374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497115448
—
MN
Enumeration date
03/03/2016
Last updated
10/25/2019
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