Individual
COLLIS WOODS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 S SPLIT ROCK RD, BENNETT, CO 80102-8708
(301) 730-2374
Mailing address
640 S SPLIT ROCK RD, BENNETT, CO 80102-8708
(301) 730-2374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NCL.0106206
CO
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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