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General NPI Number Information
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NPI Number | 1659815025
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Entity Type | Individual
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Provider Name | MICHELLE COLLINS LCMFT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 3701 BANK ST STE C
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City | BALTIMORE
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State | MD
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Zip | 21224-2504
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Country | US
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Telephone | 301-458-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 136 S CURLEY ST
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City | BALTIMORE
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State | MD
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Zip | 21224-2235
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Country | US
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Telephone | 919-641-2033
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LGM551
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCM668
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License Number State | MD
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