Individual
MS. MELANIE LYNN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDCI CDP
Contact information
Practice address
25504 E LAKE ARMSTRONG RD, ARLINGTON, WA 98223
(425) 268-8805
(000) 000-0000
Mailing address
25504 E LAKE ARMSTRONG RD, ARLINGTON, WA 98223-8139
(425) 268-8805
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0920666
—
WA
Enumeration date
08/31/2009
Last updated
08/01/2018
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