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DR. ELAINE R COLLINS PH.D., LMFC

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1649540352

Individual Registrant:
DR. ELAINE R COLLINS PH.D., LMFC
Gender: F
Sole Proprietor

Location and contact information for practice:
17817 SANTIAGO BLVD VILLA PARK MEDICAL VILLA PARK, CA 92861 US
Tel: 714-350-8634  Fax: 714-733-5699

Contact information for business:
18340 YORBA LINDA BLVD SUITE 107-280 YORBA LINDA, CA 92886-4058 US
Tel: 714-350-8634  Fax: 714-733-5699

Registration Information:
NPI: 1649540352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC 48471

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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