Vivian Juanita Mccollum in Albany - Professional
Vivian Juanita Mccollum - NPI 1790972412
Vivian Juanita Mccollum is a Professional in Albany, Georgia. Vivian Juanita Mccollum practices all healthcare services and medical treatments related to Professional. The NPI Number for Vivian Juanita Mccollum is 1790972412. The last update date is 2007-09-26.
Vivian Juanita Mccollum's current location address is 230 S Jackson St, Albany, Georgia. You can contact this provider via phone number 2293174727 and fax number 2294303989. The mailing address for Vivian Juanita Mccollum is 230 S Jackson St, Albany, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian Juanita Mccollum |
|---|---|
| Address | 230 S Jackson St, Albany, Georgia |
| Phone Number | 2293174727 |
| Fax Number | 2294303989 |
| Sole Proprietor | Y |
| Credentials | PH.D., LPC |
NPI Number Detail
| NPI Number | 1790972412 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 230 S Jackson St |
|---|---|
| City | Albany |
| State | Georgia (GA) |
| Post Code | 317012885 |
| Phone Number | 2293174727 |
| Fax Number | 2294303989 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC004750 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code assigned to Vivian Juanita Mccollum by the Centers for Medicare & Medicaid Services?
The Vivian Juanita Mccollum has been issued the NPI (National Provider Identifier) 1790972412 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Vivian Juanita Mccollum's facilities are geographically located?
The facilities of Vivian Juanita Mccollum are physically situated at the following location: 230 S Jackson St, Albany, GA, 317012885.
What is Vivian Juanita Mccollum's area of expertise and its corresponding taxonomy classification?
The Vivian Juanita Mccollum's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.
On what date did Vivian Juanita Mccollum receive its 1790972412 assignment from the Centers for Medicare & Medicaid Services?
The Vivian Juanita Mccollum was assigned its 1790972412 on 2007-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Vivian Juanita Mccollum most recently updated or revised?
The information pertaining to Vivian Juanita Mccollum, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-26.
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