PAUL CHARLES MCCOLLUM

EDINA, MN
NPI1841996451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305758)
Enumeration Date2023-02-06
Last Update Date2023-02-20
Business Address
Mr. PAUL CHARLES MCCOLLUM LADC
6600 FRANCE AVE S STE 425
EDINA, MN 55435-1808
Phone number: 952-243-8300
Mailing Address
Mr. PAUL CHARLES MCCOLLUM LADC
1305 MADISON ST APT 117
SAINT PAUL, MN 55116-2698
Phone number: 716-380-8177