MARK COLLINS

AIKEN, SC
NPI1477005189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
-- MARK COLLINS
410 UNIVERSITY PKWY
AIKEN, SC 29801-6810
Phone number: 803-645-6911
Mailing Address
-- MARK COLLINS
1112 BLUE SPRUCE DR
GRANITEVILLE, SC 29829-3980
Phone number:
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