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GARY TYRONE COLLINS MSW, LPC, CCAC

Addiction Substance Use Disorder

Welch, West Virginia

Provider NPI: 1639107329

Provider Information:
 GARY TYRONE COLLINS MSW, LPC, CCAC
Gender: M
Not Sole Proprietor

Practice Location:
787 VIRGINIA AVE  WELCH, WV 24801 US
Tel: 304-436-2106  Fax: 304-436-6362

Business Mailing Address:
200 12TH STREET EXT  PRINCETON, WV 24740 US
Tel: 304-425-9541  Fax: 304-425-1332

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WV02-322
X101YM0800XBehavioral Health & Social Service Providers
Counselor
WV1528









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