Individual
DIANE E. MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(214) 821-6505
(214) 821-6504
Mailing address
9227 E LAKE HIGHLANDS DR, DALLAS, TX 75218-2722
(214) 324-9362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18464
TX
101YM0800X
Mental Health Counselor
61481
TX
106H00000X
Marriage & Family Therapist
5163
TX
Other
Enumeration date
09/17/2006
Last updated
10/06/2009
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