Collins, Jefferson D

Collins, Jefferson D is an sole proprietor health care provider with primary practice located at 312 1St St , Ithaca NY 14850-3410. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Collins, Jefferson D can be contacted via phone (607) 273-5464.

Contact Information

Primary practice address
312 1St St Ithaca NY 14850-3410
Phone: (607) 273-5464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X RO46993-1 New York

Profile Details

NPI number 1831254580
LBN Legal business name Collins, Jefferson D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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