| Bryan Benjamin Collins Iii | |
|
907 N Poplar St Ste 183 Casper WY 82601-1304 | |
| (307) 472-9890 | |
| (307) 472-9891 |
| Full Name | Bryan Benjamin Collins Iii |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 907 N Poplar St Ste 183, Casper, Wyoming |
| Authorized Official Name and Position | Bryan B Collins (CLINICAL THERAPIST) |
| Authorized Official Contact | 3074729890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Benjamin Collins Iii 907 N Poplar St Ste 183 Casper WY 82601-1304 Ph: (307) 472-9890 | Bryan Benjamin Collins Iii 907 N Poplar St Ste 183 Casper WY 82601-1304 Ph: (307) 472-9890 |
| NPI Number | 1861815581 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861815581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-524 (Wyoming) | Primary |
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