Individual
MR. JOHN HENRY MCCOLLUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 CONGRESS ST STE 101, SPRINGFIELD, MA 01104-3427
(931) 624-8339
Mailing address
80 CONGRESS ST STE 101, SPRINGFIELD, MA 01104-3427
(931) 624-8339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
DE
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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