Individual
DIANE L MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PH.D.
Contact information
Practice address
2940 HORIZON PARK DR, SUWANEE, GA 30024-7251
(678) 920-2608
Mailing address
3750 TUGGLE RD, BUFORD, GA 30519-4037
(678) 920-2608
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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