Individual provider · Type 1 NPI
Douglas James McCollum, MA, LAC, CADC I
Addiction (Substance Use Disorder) Counselor · Missoula, MT
NPI number
1093613762
Active
Practice location
218 E Front St Ste 102
Missoula, MT 59802-4402
Mailing address
5353 Canyon River Rd
Missoula, MT 59802-5551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BBH-LAC-LIC-79928 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093613762
Douglas James McCollum, MA, LAC, CADC I's National Provider Identifier is 1093613762, issued on Oct 30, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Missoula, MT. The record was last updated on Oct 30, 2026.