BLAKE-ALEXANDRIA ALEXIS COLLINS

GAINESVILLE, FL
NPI1508300518
Professional NameALEXANDRIA COLLINS-WISNIOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16901)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2016-12-09
Last Update Date2024-03-04
Business Address
Ms. BLAKE-ALEXANDRIA ALEXIS COLLINS B.A., SUDRC
1015 NW 56TH TER
GAINESVILLE, FL 32605-4481
Phone number: 352-835-5520
Mailing Address
Ms. BLAKE-ALEXANDRIA ALEXIS COLLINS B.A., SUDRC
119 ROBINSON LN
SANTA CRUZ, CA 95060-2351
Phone number: 831-760-2774