Mccollum, Lisa

Mccollum, Lisa is an individual health care provider with primary practice located at 112 1St St W , Bemidji MN 56601-4002. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mccollum, Lisa can be contacted via phone (218) 888-8032.

Contact Information

Primary practice address
112 1St St W Bemidji MN 56601-4002
Phone: (218) 888-8032
Fax: (218) 888-8033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1598537409
LBN Legal business name Mccollum, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2023
Last updated Oct 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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