Individual
COREY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 455-0134
Mailing address
174 BREAM ST, HOPE, AR 71801-9096
(870) 703-4124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2002041
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2019
Last updated
03/02/2020
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