ROBERT EUGENE COLLINS

STANTON, CA
NPI1295206241
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C050820218)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
ROBERT EUGENE COLLINS
10936 DALE AVE
STANTON, CA 90680-2724
Phone number: 509-960-0254
Mailing Address
ROBERT EUGENE COLLINS
10936 DALE AVE
STANTON, CA 90680-2724
Phone number: 509-960-0254