PAUL CHARLES MCCOLLUM

COON RAPIDS, MN
NPI1841996451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305758)
Enumeration Date2023-02-06
Last Update Date2024-09-07
Business Address
Mr. PAUL CHARLES MCCOLLUM LADC
10077 DOGWOOD ST NW STE 110
COON RAPIDS, MN 55448-5285
Phone number: 651-777-5222
Mailing Address
Mr. PAUL CHARLES MCCOLLUM LADC
14300 34TH AVE N APT 338
PLYMOUTH, MN 55447-5207
Phone number: 716-380-8177
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