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Individual

BRETA COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
4108 PARK RD, SUITE 411, CHARLOTTE, NC 28209-2259
(704) 533-0061
Mailing address
4108 PARK RD, CHARLOTTE, NC 28209-2259

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9061A
NC

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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