Individual
COURTNEY ALEXZANDRA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
214 HAVENS LN, WAVERLY, OH 45690-9051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172884
OH
101YM0800X
Mental Health Counselor
QMHS
OH
Other
Enumeration date
08/14/2019
Last updated
03/31/2020
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