Individual
JULIA MAC CONNER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC MAC
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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