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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770902702 | NPPES |
| Ohio | MEDICAID | 0199144 |
Popular Providers
-
Burkes, Thomas L
960 Boardman Canfield Rd , Boardman OH 44512-4220 -
Grace, Jeffrey
960 Boardman Canfield Rd , Boardman OH 44512-4220 -
Sargent, Roni Tyler
960 Boardman Canfield Rd , Boardman OH 44512-4220 -
Shaffer, David
837 Boardman Canfield Rd , Boardman OH 44512-4233 -
Safar, John
930 Trailwood Dr , Boardman OH 44512-5007 -
Dina, Rosalynda Magdalina
960 Boardman Canfield Rd , Boardman OH 44512-4220 -
Doss, Derek
960 Boardman Canfield Rd , Boardman OH 44512-4220 -
Laird, Susan Diana
6505 Market St , Boardman OH 44512