Individual
CHRISTINE MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, OCPSII, MACM
Contact information
Practice address
930 TRAILWOOD DR, BOARDMAN, OH 44512-5007
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.111100
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC111100
OH
405300000X
Prevention Professional
OCPC1061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199144
—
OH
Enumeration date
04/07/2014
Last updated
11/30/2020
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