Individual
MR. JAMES BRYAN MCCOLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
8930 STANFORD BLVD., COLUMBIA, MD 21046
(410) 313-6202
(410) 313-6212
Mailing address
8930 STANFORD BLVD., COLUMBIA, MD 21045
(410) 313-6202
(410) 313-6212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06538
MD
Other
Enumeration date
04/22/2007
Last updated
10/30/2014
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