Individual
TIMOTHY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, CAC
Contact information
Practice address
285 SHAKER RD, ENFIELD, CT 06082-2373
(860) 253-8284
Mailing address
9 GOOD HILL RD, SOUTH WINDSOR, CT 06074-3211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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