Mccollum, Vivian Juanita

Mccollum, Vivian Juanita is an sole proprietor health care provider with primary practice located at 230 S Jackson St Suite 243, Albany GA 31701-2885. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mccollum, Vivian Juanita can be contacted via phone (229) 317-4727.

Contact Information

Primary practice address
230 S Jackson St Suite 243 Albany GA 31701-2885
Fax: (229) 430-3989
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004750 Georgia

Profile Details

NPI number 1790972412
LBN Legal business name Mccollum, Vivian Juanita
Credentials PH.D., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 17 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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