Collins, Elaine R

Collins, Elaine R is an sole proprietor health care provider with primary practice located at 17817 Santiago Blvd Villa Park Medical, Villa Park CA 92861. 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, Elaine R can be contacted via phone (714) 350-8634.

Contact Information

Primary practice address
17817 Santiago Blvd Villa Park Medical Villa Park CA 92861
Phone: (714) 350-8634
Fax: (714) 733-5699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 48471 California

Profile Details

NPI number 1649540352
LBN Legal business name Collins, Elaine R
Credentials PH.D., LMFC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2012
Last updated Jan 11th, 2012 - about 14 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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