Individual provider · Type 1 NPI

Amanda McCollum

Counselor · San Jose, CA

NPI number 1649522384 Active

Practice location

3031 Tisch Way, Suite 306
San Jose, CA 95128-2541

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649522384

Amanda McCollum's National Provider Identifier is 1649522384, issued on Oct 4, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 4, 2012.