Individual
DR. ERIC EDWARD MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1984 ISAAC NEWTON SQ W, SUITE 204, RESTON, VA 20190-5038
(703) 899-1097
Mailing address
3936 TALLOW TREE PL, FAIRFAX, VA 22033-2467
(703) 803-6427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002459
VA
106H00000X
Marriage & Family Therapist
0717000284
VA
Other
Enumeration date
01/13/2010
Last updated
09/05/2016
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