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:
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Health care specialties

SpecialtyCodeLicense #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 10 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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