Collins, Sally Jane

Collins, Sally Jane is an sole proprietor health care provider with primary practice located at 190 N 10Th St Suite 301, Brooklyn NY 11211-9325. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Collins, Sally Jane can be contacted via phone (917) 861-7496.

Contact Information

Primary practice address
190 N 10Th St Suite 301 Brooklyn NY 11211-9325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000853 New York

Profile Details

NPI number 1518264639
LBN Legal business name Collins, Sally Jane
Credentials LMFT, MA, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2011
Last updated Feb 25th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518264639 NPPES
New York Other 000853 MARRIAGE AND FAMILY THERAPY LICENSE ID NUMBER

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