Doctor Name: | JENNIFER WOOD COLLIER |
NPI Number: | 1164692794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | SW124301 |
Business Practice Address: | 564 Main St Stroudsburg, PA - 183602004 |
Business Phone Number: | 5704203202 |
Business Fax Number: | |
Mailing Address: | 335 N 4th St, LEHIGHTON |
State: | PA |
Postal Code: | 182351464 |
Phone Number: | 6103778525 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW124301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |