Individual
MRS. JENNIFER ANNE WALLACE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR
Contact information
Practice address
804 SPRINGWOOD LN, LOWER GWYNEDD, PA 19002
(857) 498-0317
Mailing address
804 SPRINGWOOD LN, LOWER GWYNEDD, PA 19002
(857) 498-0317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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