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Individual

JACEY LAUREN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 983-7608
Mailing address
3047 E SWALLOW ST, SPRINGFIELD, MO 65804-6658

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020028358
MO

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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