Individual
SALLY T COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
998 FARMINGTON AVE STE 214, WEST HARTFORD, CT 06107-2184
(860) 989-5955
Mailing address
67 BLUE RIDGE LN, WEST HARTFORD, CT 06117-2315
(860) 989-5955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005263
CT
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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