Individual provider · Type 1 NPI
Paul Charles McCollum, LADC
Addiction (Substance Use Disorder) Counselor · Coon Rapids, MN
NPI number
1841996451
Active
Practice location
10077 Dogwood St NW Ste 110
Coon Rapids, MN 55448-5285
Mailing address
14300 34th Ave N Apt 338
Plymouth, MN 55447-5207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305758 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1841996451
Paul Charles McCollum, LADC's National Provider Identifier is 1841996451, issued on Feb 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 7, 2024.