Individual
CARLY A.W. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 485-3098
(562) 216-2337
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 485-3098
(562) 216-2337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
02/14/2014
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