Individual
KELLEY COLLINS
Active
Individual
KELLEY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-1054331
FAMILIES FIRST
GA
Enumeration date
12/20/2017
Last updated
03/13/2024
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