Individual
SHADE SHAMARION COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 COUNTRY CLUB DROVE, LAPLACE, LA 70068
(504) 602-5757
Mailing address
51 COUNTRY CLUB DR, LA PLACE, LA 70068-1901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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