Individual
MICHELE MCCOLLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
126 ENTERPRISE PATH, SUITE 205, HIRAM, GA 30141-2656
(678) 584-3989
Mailing address
126 ENTERPRISE PATH, SUITE 205, HIRAM, GA 30141-2656
(678) 584-3989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008708
GA
Other
Enumeration date
06/11/2015
Last updated
12/27/2015
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