Most Relevant Information
Provider Data
| NPI Number: | 1003584574 |
| Provider Name: | SELENA COLLINS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 106828 |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
409 CAMINO DEL RIO S STE 201
SAN DIEGO
CA
921083505
Practice Location Phone/Fax
| Phone: | 6195084327 |
| Fax: |
Provider Mailing Location
409 CAMINO DEL RIO S STE 201
SAN DIEGO
CA
921083505
Provider Mailing Phone/Fax
| Phone: | 6195084327 |
| Fax: |