| NPI | 1699908194 |
|---|---|
| Other Name | MELANIE LYNN MCCOLLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001196) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2018-08-01 |