Doctor Name: | MRS. DANA RENEE COLLINS |
NPI Number: | 1104981299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 18276 |
Business Practice Address: | 219 W Brown St Ste. A Ennis, TX - 751194738 |
Business Phone Number: | 4693377152 |
Business Fax Number: | 9728753808 |
Mailing Address: | Po Box 263, ENNIS |
State: | TX |
Postal Code: | 751200263 |
Phone Number: | 4693377152 |
Fax Number: | 9728753808 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |