Individual
MR. DAVID RED EAGLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915
(781) 871-6550
Mailing address
471 MAIN RD, TIVERTON, RI 02878-1369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
05/19/2014
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