Mccollum, Christine

Mccollum, Christine is an sole proprietor health care provider with primary practice located at 930 Trailwood Dr , Boardman OH 44512-5007. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mccollum, Christine can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
930 Trailwood Dr Boardman OH 44512-5007
Phone: (513) 834-7063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC111100 Ohio
Other Service Providers / Prevention Professional 405300000X OCPC1061 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.111100 Ohio

Profile Details

NPI number 1770902702
LBN Legal business name Mccollum, Christine
Credentials LICDC, OCPSII, MACM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2014
Last updated Nov 30th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770902702 NPPES
Ohio MEDICAID 0199144

Popular Providers