Individual
JILL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 579-8860
Mailing address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 579-8860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1210
KY
101YP2500X
Professional Counselor
Primary
161948
KY
Other
Enumeration date
12/30/2013
Last updated
05/01/2024
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