| Doctor Name: | MRS. JUDITH ANN COLLIER |
| NPI Number: | 1053418301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, M.ED. LISAC |
| License Number: | LISAC-11458 |
| Business Practice Address: | 1201 E Cooley Suite H Show Low, AZ - 859015145 |
| Business Phone Number: | 9285323238 |
| Business Fax Number: | 9285323292 |
| Mailing Address: | Po Box 3872, 1204 E. Cooley SHOW LOW |
| State: | AZ |
| Postal Code: | 859015145 |
| Phone Number: | 9285323238 |
| Fax Number: | 9285323292 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 10/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-11458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |