Mccolloch, Thomas L

Mccolloch, Thomas L is an individual health care provider with primary practice located at 1206 Highway 411 , Vonore TN 37885-2455. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mccolloch, Thomas L can be contacted via phone (423) 884-7271.

Contact Information

Primary practice address
1206 Highway 411 Vonore TN 37885-2455
Phone: (423) 884-7271
Fax: (423) 884-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-10660 New Mexico

Profile Details

NPI number 1588663322
LBN Legal business name Mccolloch, Thomas L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588663322 NPPES
Other 11261845 CAQH
MEDICAID 3921436 CAQH

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