Mccollum, Michael Shawn
Mccollum, Michael Shawn is an individual health care provider with primary practice located at 1501 San Pedro Dr Se Dept Va , Albuquerque NM 87108-5153. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccollum, Michael Shawn can be contacted via phone (505) 503-3012.Contact Information
Primary practice address
1501 San Pedro Dr Se Dept Va
Albuquerque NM 87108-5153
Phone: (505) 503-3012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 41557 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 41557 | Texas |
Profile Details
| NPI number | 1295785210 |
|---|---|
| LBN Legal business name | Mccollum, Michael Shawn |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Dec 4th, 2014 - about 11 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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