MEDICARE: CINDY LEE COLLINS AMFT, APCC

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	101YP2500X	Professional Counselor	22053	CA

General Provider Information

NPI Number	:	1205535994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY LEE COLLINS AMFT, APCC

Provider Business Mailing Address
First Line	:	6235 RIVER CREST DR STE J
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0758
Country	:	US
Telephone Number	:	951-640-1375
Fax Number	:

Provider Business Practice Location Address
First Line	:	4655 MINNIER AVE APT 16A
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-2810
Country	:	US
Telephone Number	:	951-888-1267
Fax Number	:

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

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	04/07/2026

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