Most Relevant Information
Provider Data
NPI Number: | 1003274564 |
Provider Name: | CAROLYN COLLINS LCPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 180006405 |
Most Important Dates
Enumeration Date: | 01/29/2016 |
Last Updated: | 08/25/2021 |
Provider Practice Location
3330 OLD GLENVIEW RD STE 10
WILMETTE
IL
600912963
Practice Location Phone/Fax
Phone: | 7735624708 |
Fax: |
Provider Mailing Location
845 POLO LN
GLENVIEW
IL
600254439
Provider Mailing Phone/Fax
Phone: | 7735624708 |
Fax: |