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DR. ELAINE R COLLINS PH.D., LMFC
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1649540352
Individual Registrant:DR. ELAINE R COLLINS PH.D., LMFC
Gender: F
Sole Proprietor
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
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
Tel: 714-350-8634 Fax: 714-733-5699
Registration Information:
NPI: 1649540352
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC 48471 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
