Individual
CAROL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6692 MERCHANDISE WAY, DIAMOND SPRINGS, CA 95619-9453
(530) 626-2589
Mailing address
5080 CLEAR CREEK RD, PLACERVILLE, CA 95667-8161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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