MEDICARE: ABIGAIL COLLINS

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053688929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL COLLINS

Provider Business Mailing Address
First Line	:	61 GRANDVIEW TER
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06114-1727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 ASYLUM AVE STE 502
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105-2475
Country	:	US
Telephone Number	:	860-422-8384
Fax Number	:	860-422-8382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	11/29/2018

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Directions to “ ABIGAIL COLLINS ” Practice Location

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