| Doctor Name: | JOHN (JACK) JOSEPH COLLINS |
| NPI Number: | 1285732032 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCMHC |
| License Number: | 583 |
| Business Practice Address: | 216 Lafayette Rd #206 North Hampton, NH - 038622445 |
| Business Phone Number: | 6039641700 |
| Business Fax Number: | 6039641701 |
| Mailing Address: | 481 Morrill St, GILFORD |
| State: | NH |
| Postal Code: | 032496501 |
| Phone Number: | 6033938876 |
| Fax Number: | 6035286401 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |