Individual
DIANA MARIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHA
Contact information
Practice address
4801 LINDSTROM DR, CHARLOTTE, NC 28226-7905
(704) 965-0296
Mailing address
4801 LINDSTROM DR, CHARLOTTE, NC 28226-7905
(704) 965-0296
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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