Nicole R Collum, is a
Counselor - Addiction (substance Use Disorder) based in Arnold, California. Nicole R Collum is licensed to practice in California (license number ) and her current practice location is
1194 Cedar St, Arnold, California. She can be reached at her office (for appointments etc.) via phone at
(209) 822-3117.
NPI number for Nicole R Collum is 1942032214 and her current mailing address is Po Box 2483, Arnold, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942032214.
Healthcare Provider's Profile
| Full Name | Nicole R Collum |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 1194 Cedar St, Arnold, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942032214
- Provider Enumeration Date: 08/15/2024
- Last Update Date: 08/15/2024
Medical Identifiers
Medical identifiers for Nicole R Collum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942032214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole R Collum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole R Collum,
Po Box 2483,
Arnold, CA 95223-2483
Ph: (209) 770-4582 | Nicole R Collum,
1194 Cedar St,
Arnold, CA 95223-9636
Ph: (209) 822-3117 |
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