Mccollum, Eric Edward

Mccollum, Eric Edward is an sole proprietor health care provider with primary practice located at 1984 Isaac Newton Sq W Suite 204, Reston VA 20190-5038. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccollum, Eric Edward can be contacted via phone (703) 899-1097.

Contact Information

Primary practice address
1984 Isaac Newton Sq W Suite 204 Reston VA 20190-5038
Phone: (703) 899-1097
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002459 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000284 Virginia

Profile Details

NPI number 1538499595
LBN Legal business name Mccollum, Eric Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated Sep 5th, 2016 - about 9 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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