Individual
MRS. SHIRLEY YVONNE COLLINS-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, ADC
Contact information
Practice address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 633-3195
Mailing address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 633-3195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11492-0917
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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