| Collinear | |
|
78 Point Pleasant Dr Palm Coast FL 32164-6799 | |
| (310) 295-7767 | |
| Not Available |
| Full Name | Collinear |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 78 Point Pleasant Dr, Palm Coast, Florida |
| Authorized Official Name and Position | Marta Fenero (DIRECTOR) |
| Authorized Official Contact | 3863858047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collinear 78 Point Pleasant Dr Palm Coast FL 32164-6799 Ph: (310) 295-7767 | Collinear 78 Point Pleasant Dr Palm Coast FL 32164-6799 Ph: (310) 295-7767 |
| NPI Number | 1174179824 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 03/18/2023 |
| Certification Date | 03/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174179824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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