Individual
SUSAN IVES MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
2000 FOUNDATION WAY, SUITE 3500, MARTINSBURG, WV 25401
(304) 264-1442
(304) 264-4317
Mailing address
2000 FOUNDATION WAY, SUITE 3500, MARTINSBURG, WV 25401-9003
(304) 264-1442
(304) 264-4317
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
WV PROVISIONAL #2
WV
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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