DAVID COLLINS

FARGO, ND
NPI1952636706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND  1597)
Enumeration Date2009-10-13
Last Update Date2009-10-13
Business Address
DAVID COLLINS LAC
505 40TH ST S UNIT B
FARGO, ND 58103-1184
Phone number: 701-478-8440
Mailing Address
DAVID COLLINS LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561