Shade Shamarion Collins

NPI #1679091649 in Laplace, Louisiana

Provider Information

NPI Number: 1679091649
Entity Type: Individual
Name: Shade Shamarion Collins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 30, 2017
Last Updated: Aug 30, 2017

Practice Location

Address: 51 COUNTRY CLUB DROVE
City: Laplace
State: Louisiana
ZIP Code: 70068
Phone: (504) 602-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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