Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 18732 | FL |
NPI | 1003192345 |
---|---|
Provider Name | Julia Collman |
First Address | Ocala, FL 34473-5825 |
Second Address | Ocala, FL 34473-5825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2011 |
Last Update Date | 03/03/2021 |