Individual
JOHN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III, CPS II
Contact information
Practice address
3450 BROADWAY, BOULDER, CO 80304-1899
(303) 441-1100
Mailing address
3450 BROADWAY, BOULDER, CO 80304-1899
(303) 441-1540
(303) 441-1576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0006407
CO
Other
Enumeration date
06/24/2014
Last updated
07/14/2014
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