Vivian Juanita Mccollum PH.D., LPC

NPI 1790972412 - Counselor - 101YP2500X

NPI Details
NPI 1790972412
Gender Female
Enumeration Date 09/26/2007
Last Updated 09/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
230 S JACKSON ST
SUITE 243
ALBANY GA, 31701-2885, US
Phone (229) 317-4727
Fax (229) 430-3989
Business Location
230 S JACKSON ST
SUITE 243
ALBANY GA, 31701-2885, US
Phone (229) 317-4727
Fax (229) 430-3989
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC004750
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According to our database, Dr. Vivian Juanita Mccollum PH.D., LPC NPI is 1790972412, taxonomy code is 101YP2500X and license number is LPC004750, license state is located at Georgia. Vivian Juanita Mccollum PH.D., LPC physically located at 230 S Jackson St, Albany GA, 31701-2885. NPI Number Vivian Juanita Mccollum PH.D., LPC has the Individual type.

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1790972412 NPI number is provided on an as is basis without warranty of any kind. 1790972412 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Juanita Mccollum PH.D., LPC are for informational purposes only.