Individual
MS. THELONIKA CHINA LEE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004
Mailing address
3724 STAR BEACH LN, EL PASO, TX 79936-2169
(575) 694-8623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09325
NM
1041C0700X
Clinical Social Worker
65228
TX
1041C0700X
Clinical Social Worker
LC23520
ME
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0315
NM
Other
Enumeration date
01/25/2016
Last updated
10/20/2025
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