Healthcare Provider Details

I. General information

NPI: 1679487094
Provider Name (Legal Business Name): LORI LOUISE COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI LOUISE COLLINS-DELHEZ

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CROWN POINT CIR
GRASS VALLEY CA
95945-9089
US

IV. Provider business mailing address

380 CROWN POINT CIR
GRASS VALLEY CA
95945-9089
US

V. Phone/Fax

Practice location:
  • Phone: 530-478-6400
  • Fax:
Mailing address:
  • Phone: 530-478-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPCC8834
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number220227482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: