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Contact Information

CHRISTINE MCCOLLUM, LICDC, OCPSII, MACM
930 TRAILWOOD DR
BOARDMAN, OH44512-5007
 Phone: 513-834-7063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for CHRISTINE MCCOLLUM · (Female)

NPI # 1770902702
Status Active
Credentials LICDC, OCPSII, MACM
Entity Individual
Enumeration date 04/07/2014
Last updated 11/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # LICDC.111100
  • OH License # LICDC111100
  • OH License # OCPC1061
  • OH Medicaid 0199144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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