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Individual

JULIA MAC CONNER COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC MAC

Contact information

Practice address
6605 ABERCORN ST STE 114H, SAVANNAH, GA 31405-5815
(912) 480-9984
Mailing address
6605 ABERCORN ST STE 114H, SAVANNAH, GA 31405-5815
(912) 480-9984

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NAADAC-MAC 507574
GA
101YP2500X
Professional Counselor
Primary
LPC 002960
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC 002960
LICENSE
GA
Enumeration date
05/25/2006
Last updated
05/04/2015
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