Doctor Name: | MR. RICHARD COLLINS |
NPI Number: | 1235226838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 4425 |
Business Practice Address: | 25 Marshall St North Adams, MA - 012472451 |
Business Phone Number: | 4136644541 |
Business Fax Number: | |
Mailing Address: | 3527 East Rd, SHAFTSBURY |
State: | VT |
Postal Code: | 052629799 |
Phone Number: | 4136644541 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |