Individual
MR. CHRISTOPHER RAY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LAC, CCGC
Contact information
Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 624-4107
(985) 624-4123
Mailing address
57660 KIMBERLY LN, SLIDELL, LA 70460-3714
(985) 445-4763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5115
LA
101YP2500X
Professional Counselor
Primary
8018
LA
171M00000X
Case Manager/Care Coordinator
1078
LA
171M00000X
Case Manager/Care Coordinator
1525
LA
324500000X
Substance Abuse Rehabilitation Facility
1078
LA
324500000X
Substance Abuse Rehabilitation Facility
1525
LA
Other
Enumeration date
09/17/2015
Last updated
02/04/2023
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