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Contact Information

ANGELIQUE A COLLINS, CAC-AD
821 N EUTAW ST
BALTIMORE, MD21201-4648
 Phone: 410-225-9185
 Fax: 410-225-7964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ANGELIQUE A COLLINS · (Female)

NPI Number 1619667573
Status Active
Credentials CAC-AD
Entity Individual
Enumeration date 05/12/2023
Last updated 05/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # AC2837
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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