Provider Demographics
NPI:1306859889
Name:COLLINS, MARY C (MSN, LMFT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:C
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MSN, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3117
Mailing Address - Country:US
Mailing Address - Phone:303-778-0557
Mailing Address - Fax:
Practice Address - Street 1:1800 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3117
Practice Address - Country:US
Practice Address - Phone:303-778-0557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health