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Carly A.W. Collins

Counselor, Mental Health in Long Beach, CA. Individual provider (NPI-1).

NPI number1730479213
StatusActive
Last updated in NPPESFeb 14, 2014

Details

NPI
1730479213
Entity type
Individual (NPI-1)
Name
Carly A.W. Collins
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2011
Last updated
Feb 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1301 Pine Ave
Long Beach, CA 90813-3124

Phone 562-485-3098 · Fax 562-216-2337

Mailing address

1301 Pine Ave
Long Beach, CA 90813-3124

Phone 562-485-3098 · Fax 562-216-2337

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