| Mr Paul Charles Mccollum, LADC | |
|
10077 Dogwood St Nw Ste 110, Coon Rapids, MN 55448-5285 | |
| (651) 777-5222 | |
| Not Available |
| Full Name | Mr Paul Charles Mccollum |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10077 Dogwood St Nw Ste 110, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841996451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305758 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Charles Mccollum, LADC 14300 34th Ave N Apt 338, Plymouth, MN 55447-5207 Ph: (716) 380-8177 | Mr Paul Charles Mccollum, LADC 10077 Dogwood St Nw Ste 110, Coon Rapids, MN 55448-5285 Ph: (651) 777-5222 |
Abigail Fletcher, Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Mrs. Nikisha Lynnette Simmons-maclin, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448 Phone: 612-636-9677 | |
Adam Palowski, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10077 Dogwood St Nw, Coon Rapids, MN 55448 Phone: 612-676-1604 | |
Charles Lochner, MA Counselor Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912 | |
Ms. Kristal Ficzeri, MA Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Calsi Gilbertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Hong Fa Thao, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-767-7222 |