Individual provider · Type 1 NPI

Jesse Daniel Collins, PhD, LMHC

Mental Health Counselor · Tampa, FL

NPI number 1003312703 Active

Practice location

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642

Mailing address

5154 Royal Cypress Cir
Tampa, FL 33647-5052

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH10669 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1003312703

Jesse Daniel Collins, PhD, LMHC's National Provider Identifier is 1003312703, issued on Apr 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Apr 2, 2018.