Jason Collins, SSP

NPI #1457029027 in Eureka, Illinois

Provider Information

NPI Number
1457029027
Entity Type
Individual
Name
Jason Collins, SSP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - School
Credential
SSP
Enumeration Date
Aug 31, 2021
Last Updated
Aug 31, 2021

Practice Location

Address
719 S FOREST PARK DR
City
Eureka
ZIP Code
61530-1513
Phone
(309) 258-7607

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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