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NPI 1487057402

NPI 1487057402 : SYDNEE COLLINS : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1487057402
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    Entity Type          |    Individual 
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    Provider Name        |    SYDNEE COLLINS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2014
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    Last Update Date     |    01/22/2026
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Provider Practice Location Address
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    Address Line         |    4400 MASSACHUSETTS AVE NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20016-8002
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    Country              |    US
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    Telephone            |    615-316-8563
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2601 14TH ST NW APT 514 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20009-7288
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    PRC200012452
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    License Number State |    DC
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