Individual
GARY TYRONE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LPC, CCAC
Contact information
Practice address
787 VIRGINIA AVE, WELCH, WV 24801-2341
(304) 436-2106
(304) 436-6362
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 425-1332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-322
WV
101YM0800X
Mental Health Counselor
Primary
1528
WV
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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