Individual provider · Type 1 NPI
John McCollum, CAC III, CPS II
Addiction (Substance Use Disorder) Counselor · Boulder, CO
NPI number
1467867952
Active
Practice location
3450 Broadway
Boulder, CO 80304-1899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACC.0006407 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467867952
John McCollum, CAC III, CPS II's National Provider Identifier is 1467867952, issued on Jun 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 14, 2014.