Individual
BILLIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9820 MARK TRL, OKLAHOMA CITY, OK 73141-4419
(405) 882-9112
Mailing address
9820 MARK TRL, OKLAHOMA CITY, OK 73141-4419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
OKLAHOMA DEPARTMENT OF MENTAL HEALTH
—
Enumeration date
06/04/2012
Last updated
06/04/2012
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