Individual
COLLEEN MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 472-4357
(512) 703-1390
Mailing address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 472-4357
(512) 703-1390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53029
TX
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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