Individual provider · Type 1 NPI
Mary Collins, LPC-IT, CSAC
Professional Counselor · Janesville, WI
NPI number
1811384241
Active
Practice location
20 S Main St Ste 21
Janesville, WI 53545-3959
Fax (815) 737-8115
Mailing address
20759 Burr Oak Rd
Capron, IL 61012-9616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16284-132 (WI) |
| Professional Counselor | 101YP2500X | 3943-226 (WI) |
| Professional Counselor Primary | 101YP2500X | 7634-125 (WI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1811384241
Mary Collins, LPC-IT, CSAC's National Provider Identifier is 1811384241, issued on Apr 23, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Janesville, WI. The record was last updated on May 14, 2026.