Individual
BARRY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
949 5TH AVE SW, ALBANY, OR 97321
(541) 967-3819
Mailing address
949 5TH AVE SW, ALBANY, OR 97321-1907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
99-07-07
OR
101YP2500X
Professional Counselor
Primary
C3149
OR
Other
Enumeration date
10/28/2008
Last updated
02/27/2019
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