Individual
MR. RIQUE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4218 N GRAND BLVD, SAINT LOUIS, MO 63107-1806
(314) 534-6624
(314) 535-4394
Mailing address
4218 N GRAND BLVD, SAINT LOUIS, MO 63107-1806
(314) 534-6624
(314) 535-4394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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