Individual
CHANEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 E 40TH ST, CLEVELAND, OH 44103-4331
(216) 234-7654
Mailing address
2081 E 40TH ST, CLEVELAND, OH 44103-4331
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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