Individual provider · Type 1 NPI

Shade Shamarion Collins

Mental Health Counselor · Laplace, LA

NPI number 1679091649 Active

Practice location

51 Country Club Drove
Laplace, LA 70068

Mailing address

51 Country Club Dr
La Place, LA 70068-1901

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1679091649

Shade Shamarion Collins's National Provider Identifier is 1679091649, issued on Aug 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laplace, LA. The record was last updated on Aug 30, 2017.