Individual
THEODORE B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1149 S 450 W STE 208, BRIGHAM CITY, UT 84302-6710
(801) 392-0942
(801) 392-0943
Mailing address
5300 ADAMS AVE PKWY STE 6, OGDEN, UT 84405-6955
(435) 764-0824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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