Doctor Name: | ELIZABETH ANN COLLINS-LEE |
NPI Number: | 1215269808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 62083 |
Business Practice Address: | 36549 Hwy. 64 Wills Point, TX - 75169 |
Business Phone Number: | 9038734488 |
Business Fax Number: | |
Mailing Address: | 4925 Vzcr 3812, WILLS POINT |
State: | TX |
Postal Code: | 75169 |
Phone Number: | 9035601924 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 62083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |