Individual
MR. JOSE ELADIO COLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 WEST SHAMROCK STREET, PINEVILLE, LA 71360
(318) 484-6210
(318) 484-6844
Mailing address
59 JANELL DR, ALEXANDRIA, LA 71303-2255
(318) 484-6210
(318) 484-6844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1649
LA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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