Individual
CATHERINE GAIL MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
701 CHURCH ST SE, BLACKSBURG, VA 24060-5213
(540) 552-2504
(540) 961-5691
Mailing address
PO BOX 144, BLACKSBURG, VA 24063-0144
(540) 552-2504
(540) 961-5691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002699
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142207
ANTHEM
VA
Enumeration date
07/13/2006
Last updated
07/08/2007
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