Individual provider · Type 1 NPI
John Anthony McCollum, LAC
Professional Counselor · Fort Smith, AR
NPI number
1033994595
Active
Practice location
5003 Old Greenwood Rd Ste B
Fort Smith, AR 72903-6924
Fax (501) 421-2336
Mailing address
P.o. Drawer 2109
Russellville, AR 72811-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | A2308023 (AR) |
| Professional Counselor Primary | 101YP2500X | P2506006 (AR) |
Professional Counselor: Definition to come...
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About NPI 1033994595
John Anthony McCollum, LAC's National Provider Identifier is 1033994595, issued on Aug 31, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Smith, AR. The record was last updated on Jun 10, 2025.