Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | LC1233 | MD |
Y | 101YP2500X | Professional Counselor | LC1233 | MD |
NPI | 1073716213 |
---|---|
Provider Name | Mrs. Barbara Lynne Collins |
First Address | Odenton, MD 21113-2708 |
Second Address | Edgewater, MD 21037-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 12/03/2015 |