Individual
JESSICA ALLEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, PSRS, CADC UNDER
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 878-1135
(405) 878-1138
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 878-1135
(405) 878-1138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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