person
Dr. Vivian Juanita Mccollum, PHD,LPC
Mental Health Counselor in Saint Louis, Missouri
NPI 1790972412

Vivian Juanita Mccollum is a Mental Health Counselor based in Saint Louis, MO and is specialized in Mental Health. Vivian Juanita Mccollum practices in Saint Louis, MO and has the professional credentials of PHD,LPC. The NPI Number for Vivian Juanita Mccollum is 1790972412 and holds a License No. LPC004750 (Missouri).

The current practice location address for Vivian Juanita Mccollum is 1136 Washington Ave Unit 809, Saint Louis, MO and can be reached out via phone at 404-536-7586 and via fax at 314-727-6067.

Location: 1136 Washington Ave Unit 809, Saint Louis, MO, 63101-1174
person
Provider Profile Details
NPI Number
1790972412
Provider Name
Vivian Juanita Mccollum
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Female
Address
1136 Washington Ave Unit 809, Saint Louis, MO, 63101-1174
Phone Number
404-536-7586
Fax Number
314-727-6067
Provider Enumeration Date
09/26/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1136 Washington Ave Unit 809
City
State
Zip
63101-1174
Phone Number
404-536-7586
Fax Number
314-727-6067
person
Provider Business Mailing Address Details
Address
1136 Washington Ave Unit 809
City
State
Zip
63101-1174
Phone Number
404-536-7586
Fax Number
314-727-6067
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2015032865 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004750 (Georgia)
Definition
Definition to come...
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