Individual
DAWN R COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
5775 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4447
(248) 855-1540
(248) 855-2481
Mailing address
6549 TOWN CENTER DR, SUITE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000260F7
HAP
MI
01
—
019027
MIDWEST MEDICAID
MI
01
—
750910932
BCCHRY
MI
01
—
XX19153
HEALTHPLUS
MI
Enumeration date
12/06/2011
Last updated
12/06/2011
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