Provider Demographics
NPI:1417300682
Name:COLLINS, MARY KATE (MED LMHC, LADC)
Entity Type:Individual
Prefix:MRS
First Name:MARY KATE
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MED LMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 WASHINGTON ST # 1012
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2115
Mailing Address - Country:US
Mailing Address - Phone:781-308-8129
Mailing Address - Fax:
Practice Address - Street 1:4 MADISON AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-308-8129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health