Individual provider · Type 1 NPI

Roosevelt Collins Jr., B.A.

Mental Health Counselor · Waterbury, CT

NPI number 1942575162 Active

Practice location

141 East Main St.
Waterbury, CT 06702-1701

Call (203) 574-9000 Map

Fax (203) 574-9006

Mailing address

141 E Main St, Uite 402
Waterbury, CT 06702-2310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1942575162

Roosevelt Collins Jr., B.A.'s National Provider Identifier is 1942575162, issued on Mar 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on Sep 3, 2013.