Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL CHARLES MCCOLLUM, LADC
ActiveMR. PAUL CHARLES MCCOLLUM, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COON RAPIDS, Minnesota. NPI 1841996451 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COON RAPIDS, MN
Registration Details
- NPI Number
- 1841996451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2023 (3.5023026970186 yrs)
- Last Updated
- Sep 7, 2024
- License
-
305758 (MN)
Practice Information
- Address
-
10077 DOGWOOD ST NW STE 110COON RAPIDS, MN, 554485285Browse MN providers · Browse ZIP 55448
- Phone
- 6517775222
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID FARRIS ROGGE | M.A., L.A.D.C. | 1235479247 |
| LUKE GOETTLICHER | LADC | 1427484898 |
| MELISSA LANGEWISCH | BAS, LADC | 1487058020 |
| ERIK ENERSON | — | 1982061727 |
| MRS. NIKISHA LYNNETTE SIMMONS-MACLIN | LADC | 1063870905 |
| JACLYN RACHELLE RICE | — | 1457833204 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.