Individual
ETHAN M COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
39 W WINTER ST, DELAWARE, OH 43015-1934
(740) 203-9007
Mailing address
39 W WINTER ST, DELAWARE, OH 43015-1934
(740) 203-9007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2001953
OH
Other
Enumeration date
11/01/2016
Last updated
02/12/2024
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