Individual
MICHAEL DAVID COLLINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4139 BAKER ST NE STE 16, COVINGTON, GA 30014-1409
(678) 532-7415
Mailing address
25 SUMMIT DR, COVINGTON, GA 30016-1798
(678) 548-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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