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Russia Ja'von Collins, LMHC
Mental Health Counselor in St Petersburg, Florida
NPI 1245865294

Russia Ja'von Collins is a Mental Health Counselor based in Gulfport, FL and is specialized in Mental Health. Russia Ja'von Collins practices in St Petersburg, FL and has the professional credentials of LMHC. The NPI Number for Russia Ja'von Collins is 1245865294 and holds a License No. MH16538 (Florida).

The current practice location address for Russia Ja'von Collins is 833 22Nd St S, St Petersburg, FL and can be reached out via phone at 727-479-3054.

Location: 833 22Nd St S, St Petersburg, FL, 33707-2541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245865294
Provider Name
Russia Ja'von Collins
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
833 22Nd St S, St Petersburg, FL, 33707-2541
Phone Number
727-479-3054
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH16538 01 FL LICENSED MENTAL HEALTH COUNSELOR
institution
Provider Business Practice Location Address Details
Address
833 22Nd St S
City
St Petersburg
State
Florida
Zip
33712-2250
Phone Number
727-479-3054
Fax Number
person
Provider Business Mailing Address Details
Address
833 22Nd St S
City
St Petersburg
State
Florida
Zip
33712-2250
Phone Number
727-479-3054
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16538 ()
Definition
Definition to come...
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