Mark A Collins, LCSW

NPI #1376881086 in Rockaway Beach, New York

Provider Information

NPI Number: 1376881086
Entity Type: Individual
Name: Mark A Collins, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LCSW
Enumeration Date: Jan 30, 2013
Last Updated: Jan 30, 2013

Practice Location

Address: 221 BEACH 80TH ST
Address 2: APT 3C
City: Rockaway Beach
State: New York
ZIP Code: 11693-2002
Phone: (718) 474-0539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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