JOHN MCCOLLUM

BOULDER, CO
NPI1467867952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0006407)
Enumeration Date2014-06-24
Last Update Date2014-07-14
Business Address
-- JOHN MCCOLLUM CAC III, CPS II
3450 BROADWAY
BOULDER, CO 80304-1899
Phone number: 303-441-1100
Mailing Address
-- JOHN MCCOLLUM CAC III, CPS II
3450 BROADWAY
BOULDER, CO 80304-1899
Phone number: 303-441-1540
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