JQUAM SAREITTA COLLINS
NPI 1255172391
Counselor - Addiction (Substance Use Disorder) in Cincinnati, OH
Active since June 03, 2024
About Jquam Sareitta Collins NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JQUAM SAREITTA COLLINS (NPI 1255172391) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (188128) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1255172391
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJQUAM SAREITTA COLLINS
Location Address2786 SHAFFER AVECincinnati, OH 45211-7113
Mailing Address2786 Shaffer AveCincinnati, OH 45211-7113 · (513) 371-0772
Phone(513) 371-0772
Sole ProprietorYes
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1255172391 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 188128
2786 SHAFFER AVE, Cincinnati, OH 45211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255172391, enumerated as an "individual" on June 03, 2024.
The provider is located at 2786 SHAFFER AVE CINCINNATI, OH 45211 and the phone number is (513) 371-0772.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
