Individual
MR. SEAN DOUGLAS MCCOLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5550 PAINTED MIRAGE RD STE 320, LAS VEGAS, NV 89149-4584
(702) 582-6129
Mailing address
5009 AUSTRIAN DR, LAS VEGAS, NV 89130-2237
(702) 738-6594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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