Individual
CHERYL J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, RN
Contact information
Practice address
10425 SOARING EAGLE DR, RIVERVIEW, FL 33578-3354
(518) 461-2597
Mailing address
10425 SOARING EAGLE DR, RIVERVIEW, FL 33578-3354
(518) 461-2597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001880
NY
101YM0800X
Mental Health Counselor
Primary
MH10337
FL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN9262416
FL
Other
Enumeration date
10/11/2006
Last updated
07/01/2013
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