Individual
KIMBERLEE MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WASHINGTON AVE, TITUSVILLE, NJ 08560-1628
(609) 658-1655
Mailing address
2 WASHINGTON AVE, TITUSVILLE, NJ 08560-1628
(609) 658-1655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00542100
NJ
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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