Individual
MR. CALEB D COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
4305 N LINCOLN AVE, STE. M, CHICAGO, IL 60618-1711
(417) 773-9293
Mailing address
4305 N LINCOLN AVE, STE. M, CHICAGO, IL 60618-1711
(417) 773-9293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.008701
IL
101YP2500X
Professional Counselor
178.008701
IL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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