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John Anthony Mccollum, LAC
Counselor in Fort Smith, Arkansas
NPI 1033994595

John Anthony Mccollum is a Counselor based in Russellville, AR. John Anthony Mccollum practices in Fort Smith, AR and has the professional credentials of LAC. The NPI Number for John Anthony Mccollum is 1033994595 and holds a License No. A2308023 (Arkansas).

The current practice location address for John Anthony Mccollum is 2414 S 57Th St Ste 101, Fort Smith, AR and can be reached out via phone at 479-280-9980 and via fax at 501-421-2336.

Location: 2414 S 57Th St Ste 101, Fort Smith, AR, 72811-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033994595
Provider Name
John Anthony Mccollum
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2414 S 57Th St Ste 101, Fort Smith, AR, 72811-2109
Phone Number
479-280-9980
Fax Number
501-421-2336
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2414 S 57Th St Ste 101
City
Fort Smith
State
Arkansas
Zip
72903-3855
Phone Number
479-280-9980
Fax Number
501-421-2336
person
Provider Business Mailing Address Details
Address
2414 S 57Th St Ste 101
City
Fort Smith
State
Arkansas
Zip
72903-3855
Phone Number
479-280-9980
Fax Number
501-421-2336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
A2308023 (Arkansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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