Provider Demographics
NPI:1942426481
Name:COLLINS, JOE ALLEN (CRC)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:ALLEN
Last Name:COLLINS
Suffix:
Gender:M
Credentials:CRC
Other - Prefix:MR
Other - First Name:JOE
Other - Middle Name:ALLEN
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRC
Mailing Address - Street 1:1353 NORTH WESTMORELAND
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75221-1655
Mailing Address - Country:US
Mailing Address - Phone:214-331-0151
Mailing Address - Fax:214-331-0153
Practice Address - Street 1:1353 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1655
Practice Address - Country:US
Practice Address - Phone:214-331-0151
Practice Address - Fax:214-331-0153
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor