person
Mary Collins, LPC-IT,CSAC
Professional Counselor in Janesville, Wisconsin
NPI 1811384241

Mary Collins is a Professional Counselor based in Capron, WI and is specialized in Professional. Mary Collins practices in Janesville, WI and has the professional credentials of LPC-IT,CSAC. The NPI Number for Mary Collins is 1811384241 and holds a License No. 16284-132 (Wisconsin).

The current practice location address for Mary Collins is 20 S Main St Ste 21, Janesville, WI and can be reached out via phone at 608-851-0348 and via fax at 815-737-8115.

Location: 20 S Main St Ste 21, Janesville, WI, 61012-9616
person
Provider Profile Details
NPI Number
1811384241
Provider Name
Mary Collins
Credential
LPC-IT,CSAC
Provider Entity Type
Individual
Gender
Female
Address
20 S Main St Ste 21, Janesville, WI, 61012-9616
Phone Number
608-851-0348
Fax Number
815-737-8115
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100078408 05 WI
institution
Provider Business Practice Location Address Details
Address
20 S Main St Ste 21
City
State
Zip
53545-3959
Phone Number
608-851-0348
Fax Number
815-737-8115
person
Provider Business Mailing Address Details
Address
20 S Main St Ste 21
City
State
Zip
53545-3959
Phone Number
608-851-0348
Fax Number
815-737-8115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3943-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16284-132 (Wisconsin)
Definition
Definition to come...
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