Individual
DERRICK COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 ACADEMY CIR SW, CALHOUN, GA 30701-7426
(706) 913-6304
Mailing address
633 ACADEMY CIR SW, CALHOUN, GA 30701-7426
(706) 913-6304
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6401005837
MI
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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