Doctor Name: | JANICE COLLINS |
NPI Number: | 1114049434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFT32341 |
Business Practice Address: | 344 Placerville Drive 17 Placerville, CA - 956673920 |
Business Phone Number: | 5306216358 |
Business Fax Number: | |
Mailing Address: | 344 Placerville Drive, 17 PLACERVILLE |
State: | CA |
Postal Code: | 95667 |
Phone Number: | 5306216358 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT32341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |