Mccollum, Melanie Lynn
Mccollum, Melanie Lynn is an individual health care provider with primary practice located at 25504 E Lake Armstrong Rd , Arlington WA 98223. 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, Melanie Lynn can be contacted via phone (425) 268-8805.Contact Information
Primary practice address
25504 E Lake Armstrong Rd
Arlington WA 98223
Phone: (425) 268-8805
Fax: (000) 000-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00001196 | Washington |
Profile Details
| NPI number | 1699908194 |
|---|---|
| LBN Legal business name | Mccollum, Melanie Lynn |
| Credentials | CCDCI CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2009 |
| Last updated | Aug 1st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699908194 | NPPES |
| Washington | MEDICAID | 91-0920666 |
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