Female

Mrs. Jan M. Collier L.M.H.C.

Mental Health Counselor in Niceville, FL(View on Map)

Full Name

Mrs. Jan Marie Collier L.M.H.C.

NPI Number

1639116536

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/31/2006

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH3495

Contact
Information

Purpose

Mailing
Location

Address

18 GUM ST
222 GOVERNMENT AVE

City

Freeport
Niceville

State

FL
FL

Postal Code

32439-6708
32578-1868

Country

US
US

Telephone Number

(850) 897-7248
(850) 678-1846

Identifiers

Identifier

Z6308

Identifier State

FL

Identifier Issuer

BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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