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NPI Code Detail

MEDICARE: RICHARD C COLLINS LMFT

MEDICARE: RICHARD C COLLINS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT - 190HI

General Provider Information

NPI Number : 1871752121
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD C COLLINS LMFT
Provider Business Mailing Address
First Line : 91-1841 FORT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1909
Country : US
Telephone Number : 808-681-3500
Fax Number : 808-681-1486
Provider Business Practice Location Address
First Line : 91-1841 FORT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1909
Country : US
Telephone Number : 808-681-3500
Fax Number : 808-681-1486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/02/2008

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Directions to “ RICHARD C COLLINS LMFT” Practice Location

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